Anxiety or Heart Issues: Your Symptoms and Treatment - Cardiology

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It's understandable to feel anxious when experiencing unusual heart sensations, especially if you have a history of heart issues and anxiety. Based on your description, it seems likely that your symptoms may be related to anxiety rather than a serious heart condition, especially since you have previously undergone tests like echocardiograms that showed only mild mitral and tricuspid regurgitation, which are generally not considered serious.

Anxiety can manifest in various physical symptoms, including palpitations, a racing heart, and even feelings of trembling or shaking. These symptoms can be exacerbated by stress or anxiety, leading to a cycle where the more you focus on your heart rate, the more anxious you become, which in turn can increase your heart rate further. This is often referred to as a "vicious cycle" of anxiety and physical symptoms.

Regarding your heart rate, a resting heart rate between 90-120 beats per minute can be considered elevated, especially if you are at rest. However, during periods of anxiety or panic attacks, it is not uncommon for heart rates to spike even higher, sometimes reaching 160-170 beats per minute. This is typically a physiological response to stress or anxiety, known as the "fight or flight" response, where your body prepares to react to perceived threats.

Inderal (propranolol) is a beta-blocker that can help manage physical symptoms of anxiety, such as palpitations and tremors. It works by blocking the effects of adrenaline on your heart, which can help to lower your heart rate and reduce feelings of anxiety. Taking Inderal as prescribed, especially during times of increased anxiety, can be beneficial. However, it is important to follow your doctor's guidance regarding long-term use, as beta-blockers are generally intended for short-term management of symptoms rather than long-term treatment of anxiety.

As for your question about whether to ignore your symptoms, it's essential to listen to your body. While anxiety can certainly cause sensations that feel concerning, if you ever experience severe symptoms such as chest pain, shortness of breath, or fainting, you should seek medical attention immediately. It's always better to err on the side of caution when it comes to heart health.

In terms of medication, if you feel that the Inderal is not providing consistent relief, it may be worth discussing with your doctor whether adjustments to your dosage or a different medication might be more effective. There are various options available for managing anxiety, including other medications and therapeutic approaches such as cognitive-behavioral therapy (CBT), which can help address the underlying anxiety rather than just the physical symptoms.

Lastly, it's important to remember that anxiety can indeed cause real physical sensations that can mimic heart problems. This is a common experience among those with anxiety disorders. Engaging in relaxation techniques, mindfulness, and regular physical activity can also help manage anxiety symptoms and improve your overall well-being.

In summary, while your symptoms may be anxiety-related, it's crucial to maintain open communication with your healthcare provider about your experiences and treatment options. They can help you navigate your symptoms and find the most effective strategies for managing both your anxiety and any physical sensations you may be experiencing.