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Anxiety and palpitations (Read 2788 times)
zeus34
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Anxiety and palpitations
Sep 23rd, 2007, 6:46pm
 
Just trying to understand here.  I should probably say I started having panic attacks six years ago when I leared my mom had AML.  Five months later she passed away.  I would have panic attacks, frequently, sometimes several times a day to a few a week.  In the last 6-9 months I haven't had a what I would call a panic attack.  I have had moments where my heart would race a little, but nothing like I had previous been thru.  

So the thing that gets me know are these skips/fluttering feeling.  I feel it in my throat, feels like a smothering feeling but it's only for a few seconds.  I immediately put my hand on my neck to feel my pulse and I can feel it pause and then a few fast beats before it goes back a normal patter, although a bit fast for a while, I'm sure due to my adrenaline.  Or I might feel like there are extra beats in between the normal ones.  

I have had tests, though none in the last 15 months, but when I had them I had a stress test, ekg, ultra sound and wore a 24 hour monitor.  Everything was normal.

What I'm trying to figure out is why I can go weeks or even months without these things, and then they start back up again?  

I'll admit I've been really busy with work (long hours) on top of studying for a certification test, on top of normal every day life (mom of a 2 year old).  So if this is caused by stress, why is it that I'm fine during the busy/stressful" time and when I'm relaxing, watching TV, reading, they start back up?  I am trying to understand the anxiety link to these things and the delay in when they occur.

My husband gets these too.  In fact, he was on a four day golf weekend away from home and he had them hit him three days into his trip.  

We are both trying to figure these things out.   Both of us start to worry that something is wrong with our hearts and it's hard not to.  I personally have a fear of my heart rate getting up every since I started having panic attacks.  

Thanks for helping us understand these.

Also curious RLR, do you experience these?  
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RLR
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Re: Anxiety and palpitations
Reply #1 - Sep 24th, 2007, 5:18am
 
Your description of the evolution for your panic threshold follows a very characteristic pattern for persons with the disorder, with sub-threshold symptoms predominating as a later course.

Benign palpitations have their basis in inappropriate stimulation of the parasympathetic nervous system, in particular a specificity associated with the Vagus nerve, or 10th cranial nerve, that innervates the heart, lungs, larnyx (which incidentally is why you feel a smothering feeling in your throat), GI tract, etc.

The symptoms you are experiencing are the consequence of this heightened activity due to stress or anxiety sufficient to stimuate the SNS/PNS. You should be aware that the palpitations are not arising from within the heart itself and does not represent any type of warning sign or prelude to a cardiac event of any type. As I've told many members to this forum, in over 40 years of practice I've never once even heard of a person undergoing a life-threatening cardiac event of any type as a consequence of the type of palpitations you and others to the forum are experiencing.

Changes in environmental or internal stressors, as well as slight changes or normal fluctuations in phsyiological status, can bring about remitting symptoms interspersed with periods of what you more know to be normal for you. Just as importantly, changes in bowel habits, ie constipation or other disturbance in the GI tract such as Irritable Bowel Syndrome, can increase the potential for benign palpitations to occur because the Vagus nerve is associated as the "gastric nerve" where it innervates the Gi tract. Signals sent via the Vagus nerve can cause the type of stimuation necessary for the palpitation events to occur.

Please read my postings entitled HEART PALPITATIONS 101 PARTS 1 through 6. This will give you an idea of how the body works in this regard to create the symptoms you are experiencing.

Although I have never experienced palpitations in a prominent fashion, it must be realized that these events occur within everyone because they are associated with an innate process known as "fight or flight" syndrome. The postings will help explain this a bit further. I will say that as a former combat pilot, I've definitely experienced my heart skipping a beat or two on a number of occasions upon sighting enemy aircraft and knowing I was potentially about to engage in aerial combat. It's the same process at work by the way, only in the case of anxiety there is no real threat, but rather merely a perceived one. Regardless, the body will respond as if the threat is real. This is why the symptoms are confusing, because folks can't understand why their body is reacting in such a fashion in the absence of any illness which would reasonably explain their symptoms.  

Please read the postings I described and we'll talk more.

Best regards and Good Health
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Best Regards and Good Health
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