Is It Your Heart or Panic Attack Symptoms? — Page 2

What is paroxysmal supraventricular tachycardia?

This heart arrhythmia (or an abnormal heart rhythm) is frequently misdiagnosed as a panic attack because it typically occurs in structurally normal hearts and often begins in healthy young people, although it can start at any age. It can also be accompanied by intense anxiety.

Before she was finally diagnosed correctly, Lynn was prescribed anti-anxiety medication. She tried to convince herself she had a mental disorder, not a cardiac problem. But her heart episodes continued until she finally was afraid and panicked to go to the store, exercise, or take on a new position she was offered. She clocked her pulse rate during one of her attacks at 190 beats a minute.

Lynn sought help from several doctors. Imaging tests showed her heart was structurally fine, and she had no symptoms or signs of heart disease. A brief electrocardiogram, a test that measures your heart’s rhythm and electrical activity on a moving strip of paper or a line on a screen, recorded nothing abnormal. Her doctor had her wear a Holter monitor, a battery-operated portable device that recorded her heart rate and rhythm for 48 hours.

But her heart didn’t race at all — until the monitor was removed. Hours later, she experienced another episode of her heart beating nearly 200 times a minute. But with no proof, her diagnosis remained panic attacks.

Finally, she saw a cardiologist who listened carefully to her symptoms and kept her on a Holter for a month until an episode it recorded an episode. Finally, there was proof she had an actual heart condition — an arrhythmia.

The diagnosis of PSVT filled Lynn with relief and hope. She learned that PSVT is benign and can be treated and even cured.

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