Following up on the previous inquiry about panic disorder?
Thank you very much, Doctor.
I primarily want to express my gratitude for your opinion, as it seems this system does not allow for comments of appreciation.
I also have a small follow-up question: Is it correct that when humans encounter emergency situations (like the earthquake I asked about last time) or after intense exercise, feeling a rapid heartbeat is a normal phenomenon known as palpitations? Ever since my panic issues started, I have been particularly attentive to my heartbeat.
In the past, it seems I didn't really notice my heartbeat during emergency events.
Thank you.
Niming, 20~29 year old female. Ask Date: 2019/08/10
Dr. He Dongjin reply Cardiology
Hello, palpitations are a normal phenomenon and are not necessarily indicative of a disease.
It doesn't always mean there is an arrhythmia.
The more you pay attention to your heartbeat, the more pronounced it may feel.
I often feel my heartbeat too, and it doesn't mean anything concerning.
A heartbeat indicates that we are alive and well.
Don't worry.
Changhua Hospital cares about you.
Reply Date: 2019/08/10
More Info
Heart palpitations during stressful situations or after intense exercise can indeed be a normal physiological response. When the body encounters stress—whether from emotional triggers like anxiety or physical exertion—the autonomic nervous system is activated, leading to the "fight or flight" response. This response is characterized by the release of stress hormones such as adrenaline, which can increase heart rate and blood pressure, preparing the body to react to perceived threats.
In your case, it seems that your heightened awareness of your heart rate may be linked to your experiences with panic attacks. Panic disorder can lead to an increased sensitivity to bodily sensations, making you more aware of your heart's rhythm and any changes that occur. This heightened awareness can create a feedback loop where the anxiety about your heart rate can exacerbate feelings of panic, leading to more pronounced palpitations.
It's important to differentiate between normal physiological responses and symptoms that may indicate a more serious condition. In general, if you experience palpitations that are accompanied by other concerning symptoms—such as chest pain, shortness of breath, dizziness, or fainting—it's crucial to seek medical attention. These could be signs of an underlying heart condition or other medical issues that need to be addressed.
For individuals with a history of heart issues or those who experience significant anxiety, it may be beneficial to undergo a thorough evaluation by a healthcare professional. This can include tests like an electrocardiogram (ECG), echocardiogram, or even a Holter monitor to assess heart function during various activities. Additionally, discussing your symptoms with a mental health professional can help you develop coping strategies for managing anxiety and panic attacks, which may, in turn, reduce the frequency and intensity of your palpitations.
In terms of exercise, it's generally safe for most individuals to engage in physical activity, even if they experience palpitations. However, it's essential to listen to your body. If you feel uncomfortable or if your heart rate becomes excessively elevated, it may be wise to slow down or stop. Gradually increasing your exercise intensity and incorporating relaxation techniques, such as deep breathing or mindfulness, can also help manage both physical and emotional responses to stress.
In summary, while heart palpitations during stressful situations or exercise can be a normal response, it's essential to monitor your symptoms and consult with healthcare professionals if you have concerns. Understanding the interplay between physical exertion, emotional stress, and your body's responses can empower you to manage your health more effectively.
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