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Do I got heart palpitations or just anxiety?

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Old 12-21-2012, 07:48 PM   #1
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Do I got heart palpitations or just anxiety?

I'm a 17 year old 6ft 2 and weigh 188lb and the docs said my weight is fine considering my height.

Why do I feel my heart beat normally and then pause for a second after I feel a thump in my throat then my heart resumes beating normally. This gets really, really annoying. Some days it's worse than others and other days it's not even there and it's fine.

I have had many heart tests done including chest x ray, heart echo, EKG, etc. the only thing I'll. Point out is that 1 out of the 3 ekgs I ha said I had a left conductive chest delay something like that and I had to go back to a cardiologist and they still said my heart was fine.

Ive been told it may have been anxiety, but can anxiety cause hear palpitations/irregular heartbeats?

Help me. I'm a teen and I just don't know what to believe even after a year of tests and dealin with random things like sweatiness, feeling dizzy, Chest pain, shortness of breath(haven't had shortness of breath for like 4 months), etc.

Some time this thumping in about 30mins-1hr I feel it thump like 15 times or more.

Can anxiety also cause heart paplitations to the point where it is a lot?

Please help.


EDIT: Also, why do every couple of days when experiencing this palpitation I get a random sting/shock feel on my left chest in the heart area that only lasts for a split second or less and it is strong enough to make me jump when it happens. Could this happen because of te heart electrical imbalance thing or something?

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Old 12-22-2012, 04:58 PM   #2
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Re: Do I got heart palpitations or just anxiety?

That shock sensation you describe sounds like an electrical issue of the heart. I get that sensation at my fingertips, and I have heart arrythmia. Yes, anxiety can definitely cause changes in heart rate. Sounds like you are getting what are called ectopic beats. They are not dangerous, but they are annoying.

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Old 12-22-2012, 08:29 PM   #3
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Re: Do I got heart palpitations or just anxiety?

Hailzz, that sounds awfully familiar. I've had 3 EKGs, an echo, a stress test, and most recently a contrast CT to rule out any chest complications. My chest pain is fairly steady, and when it gets bad, so do the palps. The palps can and do come on their own, however. I just started taking an anti-anxiety/depression med this morning. I'm waiting to see if it does any good. Although I don't feel anxious or depressed, at least not anxious until the symptoms kick in, it's been recommended that I try this by one of my doctors (I'm down to 3 now). The therapist I started seeing when it was suggested that even part of this couls be anxiety related doesn't believe it's all anxiety either, though we agree after 4 months it's likely a contributing factor. I CAN say that even though anxiety may not stimulate the first incident, if I can't keep myself under control it generally tends to get worse.

I heard the phrase "electrical issue" mentioned once or twice, although it was never an official diagnosis. I have also heard benign quite a few times...but that's not how it feels. I'd like to know more about both. Good luck to you both!

Old 12-26-2012, 01:16 PM   #4
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Re: Do I got heart palpitations or just anxiety?

Hello Dakotamama -- I relate to your description of how this thing 'feels.' I've been plagued by it for over a dozen years now -- and know that it is worsened by any stress at all, plus lack of sleep/rest, caffeine in ANY form, even chocolate, and certainly alcohol and smoking.

I heard benign as well, several times! Had an echocardiogram, multiple EKGs, checked out by electrophysiologist (rhythm specialist), worn an 'event' monitor for two weeks to try to 'catch' the runs of palps that are not constant, etc. It's an arrythmia of some sort and per the docs, very common. Some people notice them more than others, some never notice a thing. It does get worse as we go thru adulthood but even teens can feel the palps -- mine are in throat/upper chest -- many people have them in mid-chest. One can feel lightheaded, short of breath, very anxious or panicky -- in fact, ALL of these symptoms go hand in hand with anxiety/panic disorders.

Certain times are worse than others -- times of obvious stress, good or bad, like holidays, vacations, OR work, school or any type of 'bad' stressors.

I take 25 mg of Atenolol daily just to try to be more comfortable but it doesn't always keep heart rate down or normal when it jumps around. On the whole, though, I think a low dose beta blocker is very helpful.

Most doctors won't do an electrophysiology study and possible ablation (where they go in and deal with the arrythmia -- causing it to hopefully abate totally, unless the palpitations, et al, are really bad and ruining the person's life. Some people's hearts don't automatically electro-convert to normal rhythm after a fairly brief run of palps, and they have to go in and get the shock paddles applied -- not a huge deal -- I know a man whose had it done twice. He is also on a beta blocker.

But many many of us with these issues have stress/anxiety/panic issues that play into it, making it seem worse. A family doctor actually asked me about my experiences, possibly because she had another patient with similar complaints to me, OR for her own self since she and I are the same age.

Bottom line -- try to stay calm and relax -- you have already heard 'benign' multiple times so try not to worry, hard as that is to hear. Happy New Year!

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