Re: Always thinking I am having a heart attack.
Fear of heart attack is very common in panic disorder. Sometimes we think our fear or fixation is somehow worse or more consuming than others, but it's not.
Your heart pounds, races, skips beats because you are anxious and fatigued, just as it does for everyone. The difference is you have become afraid of this strange action, and now you are caught in a cycle that perpetuates the strange activity form your heart: you fear the symptoms, which causes more symptoms, which causes more fear etc.
If you can try and accept that for the moment your heart may beat quickly or may pound or skip beats, and this won't harm your heart in anyway. It's just the way your heart happens to be beating, and you know it's due to your anxiety. Sit back, relax, and let it carry on until it calms down without questioning or analysing. Accept the strange beats and pain as very minor side effects of anxiety and fatigue. Your heart is healthy and can't be hurt by your anxiety, it's designed to beat that way!