Heart Palpitations and Numbness During Stressful Situations

During times of anxiety, the heart may race, or there may be sensations of numbness in the body. Sometimes, while walking, one might feel their heartbeat and experience shortness of breath, though it does not reach the point of being unable to breathe?

Hello doctor, recently I often feel my heart racing when I’m using the computer or feeling anxious.
Sometimes my heart doesn’t race, but my hands and feet feel numb, and I also feel some discomfort in my abdomen.
However, resting or taking a nap usually helps.
Occasionally, when I go hiking or exercise, I feel my heart beating strongly, but it’s not severe enough to cause shortness of breath.
I often worry about sudden cardiac arrest or shock when my heart is pounding, which makes me feel anxious.
However, these symptoms do not affect my sleep; I sleep well at night.
The rapid heartbeat and numbness occur mainly when I’m using the computer or feeling tense.
I’m concerned that I might have some heart disease, but I still have a good appetite and can eat normally.
There is no family history of heart disease, but my grandfather had high blood pressure.
I am 168 cm tall and weigh 51 kg.
Doctor, what do you think this might be?

Pan, 10~19 year old female. Ask Date: 2016/03/06

Dr. He Dongjin reply Cardiology

Hello, it seems that the autonomic nervous system disorder is caused by anxiety.
Engaging in more physical activity and finding appropriate stress relief methods should help.
If that doesn't work, you can consider using some auxiliary medications.
There is no major concern, so there's no need to worry.
Changhua Hospital cares about you.

Reply Date: 2016/03/06

More Info

Heart palpitations and numbness during stressful situations can be concerning, especially when they occur frequently. Based on your description, it seems that your symptoms are closely related to stress and anxiety, which can significantly impact the body's physiological responses.
When you experience stress, your body activates the "fight or flight" response, which is mediated by the autonomic nervous system. This response leads to the release of stress hormones like adrenaline, which can cause your heart rate to increase, leading to palpitations. Additionally, stress can cause muscle tension and hyperventilation, which may contribute to feelings of numbness or tingling in the extremities.
The fact that you experience these symptoms primarily during stressful situations, such as when working on the computer or feeling anxious, suggests that they may be linked to anxiety rather than a primary cardiac issue. It's important to note that while palpitations can be alarming, they are often benign, especially in individuals without a history of heart disease or significant risk factors.
Your symptoms of feeling your heart racing or pounding, along with numbness in your hands and feet, can also be exacerbated by poor posture or prolonged periods of inactivity, such as sitting at a computer for extended periods. This can lead to muscle tension and reduced blood flow, contributing to the sensations you are experiencing.

Here are some strategies to help manage your symptoms:
1. Stress Management Techniques: Incorporate relaxation techniques into your daily routine. Practices such as deep breathing exercises, progressive muscle relaxation, yoga, or mindfulness meditation can help reduce stress and anxiety levels.

2. Regular Physical Activity: Engaging in regular exercise can help improve cardiovascular health and reduce anxiety. Aim for at least 150 minutes of moderate aerobic activity each week, such as brisk walking, cycling, or swimming.

3. Healthy Lifestyle Choices: Maintain a balanced diet, stay hydrated, and ensure you are getting enough sleep. Avoid excessive caffeine and nicotine, as these can exacerbate palpitations and anxiety.

4. Posture Awareness: When working at a computer, ensure that your posture is correct. Use ergonomic furniture and take regular breaks to stretch and move around.

5. Seek Professional Help: If your symptoms persist or worsen, consider consulting a healthcare professional. A thorough evaluation, including a physical examination and possibly an electrocardiogram (ECG), can help rule out any underlying heart conditions. A mental health professional can also provide support and strategies for managing anxiety.

6. Cognitive Behavioral Therapy (CBT): If anxiety is a significant concern, CBT can be particularly effective in addressing the thought patterns that contribute to anxiety and stress-related symptoms.

In conclusion, while your symptoms can be distressing, they are likely related to stress and anxiety rather than a serious heart condition, especially given your family history and current health status. However, it is always best to consult with a healthcare provider for a personalized assessment and to discuss any concerns you may have about your heart health. Taking proactive steps to manage stress and maintain a healthy lifestyle can significantly improve your overall well-being.

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