What causes palpitation in a patient with anxiety?
Palpitation is the commonest symptom of anxiety
Thanks for writing to us. I can understand your concern.
The cardiac investigations you have narrated are sufficient to confirm that there is no serious problem related to heart.
Anxiety due to any factor can cause autonomic nervous system changes. This system controls heart rhythm. These changes lead to change in heart rhythm which is reflected in PACS and PVCS. And there is no also positive history related to cardiac problem in your case.
Factors which are against cardiac problem are
-age of 32
-no smoke, drink alcohol or caffeine
-cardiologist confirmation and negative stress test & holter monitor
Factors which favor anxiety problem
-lot of stress
-improvement with CBT
Palpitation is the commonest presenting symptom of anxiety. So same is happening in your case.
CBT is very good established therapy for anxiety problems.Carry on the same.
Simultaneously take care of timely sleep,meal and exercise. They are helpful to control anxiety.
Just confirm that your thyroid hormones are normal. Hyperthyroid can present like this.
By chance if you find more anxiety while on CBT, anti anxiety drug like propranolol( the best drug to control palpitation) or low dose benzodiaepine can be given.
If at all problem is severe medicine from SSRI group can be added.
In conclusion you do not have cardiac problem that is confirmed. If you have not visited psychiatrist, consultation of the same will be helpful.
Hope I have answered your query, I will be happy to help further.
Yes it can be related to anxiety
Thanks for follow up.
In any person when physical activity is going on, heart pumps fast to supply blood to muscles. In person with some anxiety problem like you this normal fastening of heart is perceived something abnormal.
But in reality it is just anxiety which makes the person to aware more about heart pumping and feelings of palpitations and racing.
No need to worry.
Try meditation and relaxation techniques like deep breathing(slowly take deep breath ,inhale for 3 seconds, keep breath in lungs for 3 seconds and exhale in 3 seconds). This will make you relax and feel better.
Hope your doubts are cleared. If still any query there, do not hesitate to ask.
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