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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Could Feeling Of Tightening Of Heart With Pain Be Panic Attacks?

Usually during the night I get a strange and somewhat painful feeling in my heart. ((Sometimes when I'm trying to sleep and other times when I'm just sitting and doing nothing)) Sometimes it feels like it's tightening. Other times it just feels . . . strange. Sorta like it's not pumping correctly. I'm not sure how exactly to explain it. I'm an 18 year old girl. When I mention this to my parents they just tell me to calm down and suggest that it might be a panic attack or the beginning of one. though I'm sure it isn't a panic attack since I've experience those and they are not alike.
Mon, 18 Apr 2016
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Cardiologist, Electrophysiology,  's  Response
Hi,welcome to HCM..
Thanks for writing to us.

It is very unlikely to have the prodrome of heart attack at your age.In some particular group of people there may be cardiac symptoms at such a young age,such as:
1.persons with previous history of some cardiac disease.
2.athletes
3.cocaine abusers
It may be a case of panic attack,but you should go for the following preliminary tests in order to rule out any cardiac cause:
1.EKG
2.Routine blood investigations including CBC,serum urea ,creatinine, lipid profile,random blood sugar.
If there is any abnormality in the test results you can consults your doctor.

Hope I have answered your query.
Stay fit,good luck.
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Could Feeling Of Tightening Of Heart With Pain Be Panic Attacks?

Hi,welcome to HCM.. Thanks for writing to us. It is very unlikely to have the prodrome of heart attack at your age.In some particular group of people there may be cardiac symptoms at such a young age,such as: 1.persons with previous history of some cardiac disease. 2.athletes 3.cocaine abusers It may be a case of panic attack,but you should go for the following preliminary tests in order to rule out any cardiac cause: 1.EKG 2.Routine blood investigations including CBC,serum urea ,creatinine, lipid profile,random blood sugar. If there is any abnormality in the test results you can consults your doctor. Hope I have answered your query. Stay fit,good luck.