Along with my panic disorder, the major symptom (along with feelings of unreality, dizziness,) is my rapid heart beat. I have noticed that when I get hot flashes (which has been a lot lately), that my heart starts pounding. Then of course, I panic, which just makes it go faster. Any other women experience this? I've had a lot of trouble with tachycardia, and have had several EKG's and a 24 hour monitor. It has come back tachycardia, rapid heart rate (up in the 160's) but they feel it is from panic attacks. I know I do get panicky with these, and anytime I feel my pulse go up, when I'm walking up stairs or doing some exertion, I can get scared and then my heart starts pounding. But I do know with the hot flashes, my heart rate can really go fast. Anyone else experience this?