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woofytalk
28-05-09, 13:42
It’s a pretty common scenario for most first time panic attack sufferers to immediately think they’re having a heart attack. After all, one of the most prominent symptoms of a panic attack is a POUNDING heartbeat that seems to flutter out of control. It’s pretty terrifying. Plus, if you’re unfamiliar with the symptoms of a panic attack, a heart attack seems like a natural conclusion to what you’re feeling.

Because it’s so common to mistake the chest pains that normally accompany panic attacks for a life threatening heart attack, this article will clear up the confusion and differentiate between the two. Upfront, I just want to say that people don’t die from panic attacks.

So even though it feels like your heart is going to pop right out of your chest during one of these episodes, the fact is, attacks like these are analogous to intense levels of cardio exercise with one major safety net. Extreme cardio exercise may potentially lead to heart attack whereas a panic attack will force you to pass out or faint before any real damage is done.

That’s because the physical symptoms of a panic attack are triggered by an offset in breathing (usually hyperventilation). Your heart isn’t being strained; it’s being thrown into a natural fight or flight response. Also, your heart isn’t what’s causing the panic attack – your mind is.

The fear combined with the physical sensation creates a natural sense of urgency.

Every year, thousands (if not millions) of people having chest pain, difficulty breathing, pain or numbness in the left arm and tingling throughout the body end up in a hospital emergency room because they believe they’re having a heart attack. Typically, a few tests are run, and the patient is sent home because the nature of the attack he or she experienced is one of panic, not coronary.

Here, I’ll outline the symptoms of both a heart attack and a panic attack so you can see their subtle differences.
The two share several common symptoms. For instance, the chest pain from a heart attack is focused in the center of the chest and is crushing, as if a heavy weight is sitting on top of the chest. It is usually persistent, may radiate to the left arm, neck or back and lasts longer than 5 - 10 minutes. Heart attack victims don't hyperventilate (unless the person's fear of heart attack triggers a panic attack), any tingling they experience is usually confined to the left arm, and vomiting is common.

During a panic attack, chest pain is localized over the heart and described as "sharp, and comes and goes. The pain usually intensifies with breathing in and out, and pressing on the center of the chest. Panic attack may cause nausea, but vomiting is very rare. If tingling is present, the entire body tingles. Hyperventilation almost always precedes a panic attack symptoms If the location of the pain moves to the center of the chest, doesn't go away within 10 minutes, is accompanied by more than one incident of vomiting or diarrhea, or goes away and returns a few minutes later, you should immediately get medical attention.

Now, if you’re having panic attacks, you may be inclined to worry about how these episodes are affecting your heart long-term.

Panic attacks don't cause heart disease, and some experts say that they actually affect the heart similarly to the way cardio exercise does, by causing the release of adrenaline, increasing the heart rate, and expanding blood vessels. On the same note, heart disease doesn't cause panic attacks, although a person with a history of panic attacks who is actually having a coronary may also panic for fear of worsening the heart damage, dying or being disabled.

That said, stress is NEVER good for your overall health so it’s important to start treating your panic and anxiety right away. You won’t hear me say that stress benefits your health of course but try not to think of stress as some terminal condition.

The truth is if you don’t have traditional risk factors – you’re not a smoker, you don’t have high blood pressure, obesity, have a family history of heart attack, your risk should be very low.

If you’re having panic attacks, chances are you have high levels of anxiety and this kind of constant stress can lead to obsessions about your health. I’m here to tell you that if you take care of yourself with exercise and proper eating (something you should be doing anyway), you don’t need to worry about heart failure during a panic attack. It simply won’t happen. The two scenarios (panic attacks and heart attacks) are completely separate animals and should be treated as such.

Now that said, just because you won’t die from a panic attack, that doesn’t mean you should just live with the debilitating anxiety it creates. There IS help for you.

jue67
28-05-09, 15:34
so those of us with high blood pressure, overweight and smokers should worry !!!

nomorepanic
28-05-09, 15:49
Jue - yes is the answer I am afraid.

jue67
29-05-09, 08:37
my point seems rather to have been missed in that anyone can have a heart attack, and pointing out on a panic attack forum that those of us who are overweight are more likely to have one is neither helpful or supportive, its not like theres not enough to set a panic attack off, lets add a post that actually tells me im more likely to have one!!! just what is needed, i didnt see the need for the end of the post, you have useful info on this site about how panic can mimic heart symptoms without this one in my opinion .

it will make me less likely to come here to this forum for support when i read this.

nomorepanic
29-05-09, 11:39
Jue - I had a heart attack 8 months ago and they said all of those factors could have caused it - they just don't know.

I didn't want to lie and say "of course you aren't at risk" because you are more at risk I am afraid. That is the sad reality of it.

Sorry if it upset you but I think the post was actually quite good in that it explained that not all pain with the heart is a heart attack as such and most of it is good old anxiety!

We can all do things to reduce the risk:

stop smoking
lose weight
eat healthily
exercise more

which in turn lowers the blood pressure too.

jue67
29-05-09, 13:59
the issue of the post appeared to be to reassure about the difference between panic and heart attacks, however both you and i know that this sort of article does not make much difference as we all need to take control of our panic and anxiety and work toward acceptance or to use meds to allow us the time to do this, to trust out bodies and our thoughts.
So for me the addition of the piece on if your not an 8 stone non smoking vegetarian who is in perfect condition you will have a heart attack achieves nothing but reinforcing some peoples worry further and something else to latch on to to disrupt the day.

Im sure we are all well aware that weight, smoking and salt are an issue in our health, but this does not seem the apt forum(piece of literature to voice it.)

just my opinion.

nomorepanic
29-05-09, 18:24
Jue - It is a sad fact that the doctor's believe all these things are a factor.

You asked the question

so those of us with high blood pressure, overweight and smokers should worry !!!

Maybe my reply should have said "yes, under some cirumstances" but the answer is still yes.

We have loads on here at the moment that are convinced they are having a heart attack cos of the chest pain and it can be explained by anxiety too and for that reason I think the post was a valid one.

No-one else has replied so I guess we don't have any other opinions on the post - perhaps someone will reply soon.

http://www.nomorepanic.co.uk/images/misc/progress.gif

laura888
29-05-09, 22:39
i thought the post was great just as i thought i was having a bad p/a i come back 2 no more panic as it has been my rock through this last year on reading pepoles probs as well understanding that im not the only one going through panic attacks :yesyes: i am a smoker and i no im at risk more by smoking that it is a fact. thats why i fear more i think but it's very hard 2 quit but i hope someday i will great post.

jennismortal
30-05-09, 10:12
Anybody that suffers from panic attacks on a regular basis understands the horror of chest pains that they can not seem to explain. One of the hallmarks of panic attacks and panic disorder is a generalized chest pain that can mimic a heart attack quite well. So well, in fact, that discerning the difference between a heart attack and a panic attack has to be done by a doctor. Heart attacks are something that you can not afford to guess at. This leads to a number of panic sufferers making regular trips to the emergency rooms of with chest pain, only to be told that they are fine and suffering from panic attacks.
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becky000
30-05-09, 17:07
Thank you very much for a most informative post.

looking4answers
14-07-09, 03:39
Hi Woofy,

Just curious if you are a doctor? If not or if so great post. Its very imformative. Ill give you an example. About 30 years ago I was hospitalized
for about a month with many many test run..

I was dehydrated and my major organs were shutting down..yes from dehydration...Well as things came to light, I was starting to experience tachocardia from panic attacks. I had a heart specialist come in and put
my heart on a sonagram and I watched it beat.

We discussed my life and I told him that my heart had beat fast most of my life. He also knew that I probably suffered anxiety most of my life. He is a heart specialist and told me exactly what you posted here.

He said the fact that I had anxiety all my life actually had made my heart stronger than most people my age since I had experienced anxiety and panic most of my life. So there is something to say for anxiety , I suppose its like a cardio workout.

My hospital stay has been over 30 years ago now but I hope that my lifetime of anxiety suffering helped me ward off heart problems so far. Thanks once again for your post.

oliverb
14-07-09, 08:12
It may be worth pointing out that although it is distressing to mistake a panic attack for a heart attack, it would be even worse to mistake a heart attack for a panic attack.

It's a distinction that was recognised by my GP, given my age, condition and family history, and he prescribed a sublingual glyceryl trinitrate spray. I've never used it, but carry it around for a bit of extra security.

AnthonyJames
16-04-10, 23:13
To be honest, I think the high blood pressure is something that a lot of people have but it is intensified when a panic attack comes along. Panic in the smallest sense over things makes the heart race and then 'fear' sets into the equation as well then.

I remember panicing when a piece of cake stuck in my throat and I couldn't breathe. God that was sooooo frightening it was unreal! My heart was pounding out of my chest.

Freeasabird
18-04-10, 19:39
Thanks for post i am overweight so it is an added fear that i am prime candidate i do feel fairly fit. But i realise now i have had these panic episodes from early childhood . This guy my mum knew used to tell me scary things and i believe this made me susceptible to feeling very unsafe. The episodes were unremarkable and i lived with them till i had my first baby pregnancy brought high blood pressure and weird feelings in my head. After third child i became extremely depressed and panic attacks made me feel i was actually dying. Over past years i recovered but this year it returned. I am becoming veey scared to go out and only go out to get essentials. I have this unreal feeling now all time. Like i am not really here.

Freeasabird
18-04-10, 19:44
also to add i have worried about dying since age five o fact it now strikes me at fourTy i have worried my whole life away!

smpomeroy
18-04-10, 23:23
I thought it was partly good and partly bad - mainly because what it seemed to be saying is that a panic attack wont do your heart harm or cause a painic attack if you are all fit and healthy but actually if you arent apanic attack could cause you harm... that in itself is not helpful particularly for those of us whop have long term illnesses where the risk fsctors are increased unavoidably..

I can sdee why it would have immediately thrown some of us into panic and actually some of the things it says are NOT true - during panic the tingling isnt always all over your bosy actually its quite often just in your extremities and I willoften throw up with a panic attack so those sorts of generalisations arent helpful.

It did have some useful information to try to help people distinguish between the two tho and thats nice and the thought behind the post was undoubtedly meant to be a help.

I have a similar thing that my therapist gave me but it has a clearer explanation - if I have time I will type it out for you all.

shotokansho
19-04-10, 09:34
Hmmm I'm pretty neutral on the post. Having said that I have been suffering with panic and anxiety for most of my life, and it doesn't seem to matter how much information or re-assurance I get, I still think I'm having a heart attack.
That's the thing with anxiety sufferers, well for me anyway, it's very difficult to push the thought that we are going to die of a heart attack while having a panic attack. My thoughts are always "well what if it is?"
When we are in a well state of mind we know this thought is irrational but still it happens.
I did think the post was meant to help though, and there were some interesting and helpful things in it.

sarah jayne
19-04-10, 09:53
Its a very informative post that makes sense but i know for a fact that i will still struggle to beleive its not my heart whilst having a pnic attack ! x

ronski
19-04-10, 17:42
Yes a post with very valuable information but I feel left out a few important factors that may calm peoples minds. Yes Smoking, Obesity, High Blood Pressure are all risk factors buts that all they are risk factors. More importantly is the genetic influence ands that is something none of us can do anything about other than get checked at an early age. Also we must differentiate between Stress and Anxiety. Stress can be an outside influence that we have no control over and that can be a destructive force when it comes to our health. Anxiety we have some control over even though at times it feels beyond our grasp to get better from it. Probably the best thing we can do for heart health is to stop smoking but I do recognise how addictive Nicotine can be. But dont forget folks that life is for living and within sensible constraints your body will be reasonably healthy. The people most at risk of heart attacks are those who take no interest in there health, have no regular check ups to make sure any rises in blood pressure are picked up early and treated appropiately. So many years later when the end organ damage is done the heart attack is inevitable. So my advice is regular 5year checks by your doctor after 40 for heart risks and that is all you can do to ensure the best possible outcome as genetics are the strongest influence in controlling your future health.

Macchiavelli
19-04-10, 22:17
thanks for the post, did help to some degree

need to realise after more than 2 years of this that I will not die every time lol