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Doctor insights on: Does Being Very Nervous Effect Your Ekg

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Hi doc I have severe anxiety...palp...nervousness...ecg echo tmt holter are all normal. Pls help?

Hi doc I have severe anxiety...palp...nervousness...ecg echo tmt holter are all normal. Pls help?

Gen measures: Try regular walking exercise, being busy with ur work, praying. May see a psychiatrist if no improvement. ...Read more

Dr. Qamar Khan
3 Doctors shared insights

Electrocardiogram (Definition)

Electrocardiogram (ecg, ekg) is a print-out of the electrical forces detected by electrodes on the chest wall, as electricity travels through the heart with each heart beat. The electrodes are placed in different positions, and each position "sees" the electrical activity of the heart from its own vantage point. Abnormalities in signal detected at chest surface ...Read more


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Had an EKG about 8 months ago. Was perfect. Lately-feeling nervousnes, rapid heartbeat, suddennfear of choking, ect. They said it was panic attacks?

Had an EKG about 8 months ago. Was perfect. Lately-feeling nervousnes, rapid heartbeat, suddennfear of choking, ect. They said it was panic attacks?

Quite possibly: How bad? Had it before? A panic attack = feeling scared to death. It is an abrupt onset of panic or dysphoria w/ autonomic activation (rapid heartrate, shortness of breath, nausea, sense of choking, cold sweat, etc). Try breathing slowly &/or breathing into a paper bag (in case you're hyperventilating). It usually dissipates in a few minutes but may recur. ...Read more

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I'm having an EKG tomorrow, and I'm kind of nervous, especially since I'm pretty young. What can I expect?

I'm having an EKG tomorrow, and I'm kind of nervous, especially since I'm pretty young. What can I expect?

Echo/ecg: Both studies are performed with the patient lying on a table. The echo has ecg leads attached to the patient and the echo images are obtained by a probe moved around the chest by a technician. Neither test is uncomfortable or painful. ...Read more

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Electrocardiogram (ekg) and the results where abnormal so now I have to go with a cardiologist, I'm very nervous, should I be concerned?

Electrocardiogram (ekg) and the results where abnormal so now I have to go with a cardiologist, I'm very nervous, should I be concerned?

Specific findings?: Hard to say with out specific ECG findings, Computer generated reads prior to a cardiologist overread can be often wrong or overcalls, hence it should be read by a cardiologist. I see abnormal ECG consults in my office every week that simply require a correct interpretation of the previous ECG. I would wait until you hear what the cardiologist has to say, tough to answer the question. ...Read more

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Could I have cardiomyopathy with no other symptoms but an LBBB on my ekg? I have an appt w/ a cardiologist in a few days, but I'm nervous from reading

Could I have cardiomyopathy with no other symptoms but an LBBB on my ekg? I have an appt w/ a cardiologist in a few days, but I'm nervous from reading

Maybe: The finding of LBBB on an ECG can be seen in cardiomyopathy, myocarditis, ischemic heart disease, left ventricular hypertrophy, and several other conditions. It can occasionally be present in a normal heart. Most people with cardiomyopathy have symptoms as well. Keep your appointment with your cardiologist. ...Read more

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Can a teenager get angina? I been having chest pains since I was 16 and drs say its costochondritis. Normal xrays and ekgs but im still nervous. I'm 18

Can a teenager get angina? I been having chest pains since I was 16 and drs say its costochondritis. Normal xrays and ekgs but im still nervous. I'm 18

Unlikely: At your age, costochondritis or heartburn are the leading cause of chest pain. Heartburn is from irritation at the stomach entrance and lower swallowing tube. This is located just behind the heart. It is aggravated by anxiety, caffeine, chocolate, acidic drinks, reclining after meals, etc. Costochondritis gradually heals. ...Read more

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Heart palps on and off for ten years. Ekg was fine. Really bad when nervous. But still happen at random times. More than anxiety?

Heart palps on and off for ten years. Ekg was fine. Really bad when nervous. But still happen at random times. More than anxiety?

Heart palpitations: Talk to your doctor again. Perhaps he/she could consider and "extended ekg" more properly called an event monitor or a holter monitor. ...Read more

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My son had an EKG done twice when he was extremely nervous. Could this make a qt interval longer? His heart rate was normal but he was super nervous.

My son had an EKG done twice when he was extremely nervous. Could this make a qt interval longer? His heart rate was normal but he was super nervous.

Not really.: Prolonged qtc should always be investigated, and even more so in boys. Genetic tests are available only for known varieties of lqts; there are many cases that do not fit in the known categories. ...Read more

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I get very nervous during dr appts and my EKG had me at tachycardia range. Why does this happen to me? I have been cutting down on alcohol and coffee.

I get very nervous during dr appts and my EKG had me at tachycardia range. Why does this happen to me? I have been cutting down on alcohol and coffee.

Anxiety: Will trigger the "flight or fight" reaction which causes your heart to race. You may have had a bad experience with doctors in the past or have a predisposition (or both) to high anxiety in certain situations such as the medical setting. Anxiety or panic attacks, in the absence of medical factors, are treatable. See: http://www. Nimh. Nih. Gov/health/topics/anxiety-disorders/index. Shtml Take care. ...Read more

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Can a problem with the nervous system cause tachycardia? Had ekg's, echo, 14 day loop, stress test. Tired of these nightly/daily episodes (up to 180)

Can a problem with the nervous system cause tachycardia? Had ekg's, echo, 14 day loop, stress test. Tired of these nightly/daily episodes (up to 180)

See below: If you have already had a 14 day loop recorder and it showed episodes of tachycardia in the range of 180s then I believe your cardiologist would have recommended further workup or management of these episodes. I would consult the physician who ordered these studies for management of your symptoms as they have the results available to them. ...Read more

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I have addisons disease I sometimes tend to have mid back pain and pain in my chest below my ribs, EKG stresses normal, but it's makes me nervous!?

I have addisons disease I sometimes tend to have mid back pain and pain in my chest below my ribs, EKG stresses normal, but it's makes me nervous!?

Chest pain: Could be a problem with skin, nerves, muscle, shoulder, lung, heart, or stomach. See your doctor for a more thorough history, physical exam and further evaluation. ...Read more

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I am age 28.Normal Stress Test, EKG, ECHO & holter monitor. No Fam hist/NON-smoker. Cardio said my heart is ok but I don't feel reassured. Nervous of MI.

I am age 28.Normal Stress Test, EKG, ECHO & holter monitor. No Fam hist/NON-smoker. Cardio said my heart is ok but I don't feel reassured. Nervous of MI.

?: Jacqueline8, your profile says you're male-it's relevant since the risk of MI is different in men and women. Nonetheless, the risk of MI in a premenopausal, non-diabetic, non-smoker is ...Read more

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My doctor heard what she called a "slight heart murmur" and did a ekg which was normal. Now she's ordered me an Ecg and im so nervous! What's the diffe?

My doctor heard what she called a "slight heart murmur" and did a ekg which was normal. Now she's ordered me an Ecg and im so nervous! What's the diffe?

Echocardiography: Echo is ultrasound to visualize the heart valves and structure and further analyze the cause of murmur. EKG is does not visualize the heart but only analyze the heart rhythm and cannot diagnose the source of a murmer. Don't worry as hearing a murmer does not always mean a heart disease as some murmers are physiologic i.e normal. Good luck with the echo ...Read more

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Anxiety with head and chest tightness bp 124 over 77 pulse 66 went to er this morning and ekg and blood work good but still nervous?

Anxiety with head and chest tightness bp 124 over 77 pulse 66 went to er this morning and ekg and blood work good but still nervous?

Anxiety shows itself: In may ways. Once can mentally obsess over things that frighten the person or do behaviors to keep danger away, e.g., ritual behaviors, checking and re-checking. Physically there can be heart palpitations, shortness of breath, sweating, sleeplessness, etc. Please go to a mental health professional for support if you think you have an anxiety disorder. See doc first to rule out medical issues. ...Read more

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Can I still have angina w/perfect blood pressure & no diabetes also had EKG & was fine. Still very nervous, dad had it & later heart disease, scared!

Can I still have angina w/perfect blood pressure & no diabetes also had EKG & was fine. Still very nervous, dad had it & later heart disease, scared!

Find good internist!: It is not difficult to find out the health of your heart and check for risk factors for Angina/Coronary ARTERY DISEASE (CAD). This is best done through an internist or a cardiologist.
Make sure that you do not have other risk factors for CAD. So get your lipid profile (cholesterol and Triglycerides) checked., control your weight with healthy diet & daily exercise and avoid smoking. ...Read more

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Cardiologist said heart is healthy. PCP found no other cause to my chest pain. Age 28, no fam hist. Norm EKG, Stress, ECHO, HM. No way it can be heart? Nervous

Cardiologist said heart is healthy. PCP found no other cause to my chest pain. Age 28, no fam hist. Norm EKG, Stress, ECHO, HM. No way it can be heart? Nervous

Not heart: Your information states that you have been evaluated by a primary care doctor and cardiologist with normal testing. Chances of chest pain due heart issues at 28 with this workup are very small. Chest pain can also be due to other causes including reflux, musculoskeletal issues and anxiety. Touch base with your primary care provider to evaluate if you continue to experience symptoms. ...Read more

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Chest pain, arms back pain. Ekg good, cholesterol good, Dr days hearts fine. Nervous about the heart attack and PE. 38 year old healthy female

Too nervous?: Sounds like neurotic chest pain that can simulate heart attack. Lighten up and have fun and if everything is healthy as you say, the pain will go away. ...Read more

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Worried about heart and sca?! . Normal ekg. Normal echo. Normal stress test and chest xray. Blood work good too. Very nervous and high anxiety?!

Worried about heart and sca?! . Normal ekg. Normal echo. Normal stress test and chest xray. Blood work good too. Very nervous and high anxiety?!

Why?: Treadmill stress testing with good exercise tolerance has a very good predictive value when normal. It is great that all your tests are normal. Why would you be worried? Any other history or experience? ...Read more

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4yr c/o chest pain & racing HR. Hyper, hungry, nervous, irritable & sweaty like hyperthyroid vs hypo. EKG & labs WNL, TSH 5.4. Hashitoxicosis?

4yr c/o chest pain & racing HR. Hyper, hungry, nervous, irritable & sweaty like hyperthyroid vs hypo. EKG & labs WNL, TSH 5.4. Hashitoxicosis?

Hashitoxocosis?: Did you mean thyrotoxicosis? There is a thyroid disease called Hashimotos thyroiditis. The TSH of 5 is elevated, and your symptoms sound as tho they could be related to elevated thyroid function. Definitely needs to be be reviewed by you doctor. ...Read more

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I have been dealing with a strong icy feeling like when you eat a strong mint in my throat and chest. I am also dealing with heart palpitations. I had an ekg done on Monday that was normal, but I am really getting nervous... For the past few months I h

I have been dealing with a strong icy feeling like when you eat a strong mint in my throat and chest. I am also dealing with heart palpitations. I had an ekg done on Monday that was normal, but I am really getting nervous... For the past few months I h

More info needed: heart problems are very rare at age 28. Most common cause of palpitations are anxiety attacks, caffeine use, smoking, sleep deprivation, dehydration, anemia, and drug use. Other problems that can present like heart problems include gallbladder attacks, heartburn, ulcer disease, and spasm of the esophagus. The original post was cut off and more information would narrow it down. ...Read more

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How do I get over heart anxiety? Constant worry about heart. Normal ekg. Echo. Stress test. Chest xray and blood work good. Need reassurance. Nervous?!

How do I get over heart anxiety? Constant worry about heart. Normal ekg. Echo. Stress test. Chest xray and blood work good. Need reassurance. Nervous?!

A delusion is: A belief that persists in spite of contrary evidence. We humans are very good at false perceptions, false interpretations, ; false conclusions. The most common error is to look only for confirming evidence. Look for evidence that could prove your belief is false. What other explanations are possible ; which are most likely? Talk to a mental health professional who treats anxiety. ...Read more

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I'm getting an exercise ecg done and was wondering if being unfit and nervous will affect results negatively and look abnormal?

I'm getting an exercise ecg done and was wondering if being unfit and nervous will affect results negatively and look abnormal?

ECG: The professionals administering and interpreting the tests will take all of that into consideration. Feel free to tell them about your concerns. Peace and good health. ...Read more

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Is it normal if you have Anxiety to have hard beating of the heart all day even though they are not nervous? An ECG and Ultrasound came back normal.

Is it normal if you have Anxiety to have hard beating of the heart all day even though they are not nervous? An ECG and Ultrasound came back normal.

Common's not normal: It's good your heart trest results are normal - and, at your age, it would not a known condition if you did have cardiac issues. You may have an idea of 'nervous' that differs from your body's sense of it. Let a well trained expert Clin Psych do a good psych eval. Expect that CBT therapy will teach you skills toward a better life. It's a great investment w/ or w/out meds. Best! ...Read more

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My gp said that I have anxiety after my ECG and thyroid test came back normal. I feel like something is wrong feeling nervous all the time. Help.

Anxiety?: Anxiety is the common cold of psychological disorders. One common first intervention for anxiety problems is exercise. Getting 30 minutes of vigorous exercise such as brisk walking, running, or swimming 5 times a week can be as effective as psychotherapy! a variety of types of psychotherapy are available that very effectively treat symptoms of anxiety. Get thee to a good psychologist! ...Read more

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Why I am belching, chest pains after I am walking but normal ecg, 2dechoe, stress test I feel so nervous is this related to anxiety disorder?

Why I am belching, chest pains after I am walking but normal ecg, 2dechoe, stress test I feel so nervous is this related to anxiety disorder?

Panic attacks: During a panic attacks, you are likely to experience symptoms similar to a heart attack--shortness of breath, pounding/rapid heart beat, sweating, dizziness, chest pain, nausea, and some even passes out. This tends to get worse because every time it happens you get scared and worry about when the next one will come. It is very treatable--many effective options. Please consult doc. Good luck. ...Read more

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Nervous about taking concerta. If I had an ECG 2 years ago and there were no congenital/structural defects and I am otherwise healthy, is it safe to assume heart is still structurally sound?

Nervous about taking concerta. If I had an ECG 2 years ago and there were no congenital/structural defects and I am otherwise healthy, is it safe to assume heart is still structurally sound?

Likely Not: The structure of your heart will almost certainly remain normal--unless you've had a major heart attack or other serious event. Similarly, your ECG has likely remained normal if one was obtained. Discuss this with your physician, but it is likely safe for you to take Concerta if you had a normal echocardiogram and ECG two years ago. ...Read more

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High heart rate when I wake up from sleep around 90 bpm, feeling anxious and nervous, normalises during rest of the day, previous ecg and echo normal.

High heart rate when I wake up from sleep around 90 bpm, feeling anxious and nervous, normalises during rest of the day, previous ecg and echo normal.

Medical vs. Psych.?: After ruling out physical illness, consider psychiatric illnesses that interrupt sleep. Night terrors, unlike nightmares, leave no memory trace. PTSD and other anxiety based illnesses can also impact sleep. Also, consider medications and substances. ...Read more

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Please help chest pain overnight and all day im getting nervous over it is it vascular? I reel like having heart attack. Normal 2decho, ecg, stress test

Please help chest pain overnight and all day im getting nervous over it is it vascular? I reel like having heart attack. Normal 2decho, ecg, stress test

You did the right: Thing by excluding the serious condition that can endanger your life. The next step is to exclude other non cardiac causes of chest pain including acid reflux disease and anxiety disorder like panic attack. Talk to your pcp and he may help you or refer you to psychiatrist. Good luck. ...Read more