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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What is the difference between anxiety attack and heart attack?

i have what feels like the stitch in my heart for the whole day (12 hours)...last week i woke up every night with fright feeling like i was going to pass out and with palpatations or fluttery feeling in my heart. how do i know if this is anxiety or a heart issue
Wed, 8 May 2019
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Cardiologist 's  Response

I understand your concern and would explain that your symptoms seem to be related to anxiety. You should know that a heart issue is usually triggered by physical activity and the chest pain is proportional to the physical activity.

Anyway, I would recommend performing a prolonged ECG Holter monitoring in order to investigate for possible cardiac arrhythmia and an exercise cardiac stress test in order to exclude coronary artery disease and the possibility of a heart attack. You should discuss with your doctor on the above tests.

Hope I have answered your query. Let me know if I can assist you further.

Dr. Ilir Sharka,
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