How to Distinguish Palpitations Caused by Anxiety from Real Heart Palpitations

Palpitations can be caused by anxiety or cardiac issues. Anxiety-induced palpitations are related to emotional triggers like stress or fear and often decrease with relaxation. Real heart palpitations, on the other hand, stem from physical problems such as arrhythmias or valve disorders and require treatment. Emotional triggers, associated symptoms, and treatment methods are key in distinguishing the two conditions. If experiencing persistent chest pain, shortness of breath, or fainting, it is crucial to consult a doctor.

Publication Date 20 January 2025
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Updated Date 20 January 2025
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How to Distinguish Palpitations Caused by Anxiety from Real Heart Palpitations

Palpitations, commonly experienced by many individuals, are often symptoms that arise from anxiety or underlying cardiac issues. Distinguishing between anxiety-induced palpitations and real heart problems is crucial for proper management and treatment. This article explores the fundamental differences, common causes, and when to seek medical help.

Anxiety-Induced Palpitations

Nature of Symptoms
Anxiety-induced palpitations typically manifest in response to stress factors or situations that trigger nervousness or fear. These may be accompanied by other anxiety symptoms like sweating, shortness of breath, and dizziness.

Common Triggers:

  1. Stressful events
  2. Fear of illness or injury
  3. Negative thoughts

How Heart Palpitations Feel

Patients report sensations of heart palpitations, fluttering, or pounding. These palpitations can mimic the feeling of a heart attack and make it difficult for individuals to differentiate between the two.

Nature of Symptoms:
Real heart palpitations can stem from cardiac issues like arrhythmias, valve disorders, or electrolyte imbalances. Unlike anxiety-induced palpitations, they occur without an emotional trigger and can be persistent.

Associated Symptoms:

  1. Chest pain or pressure
  2. Difficulty breathing
  3. Dizziness or fainting
  4. Diagnosis and Treatment

A cardiologist may perform an electrocardiogram (EKG), echocardiography, or stress test to determine the cause of real heart palpitations. Treatment depends on the underlying condition.

Key Differences

Emotional and Physical Triggers
Anxiety palpitations typically follow an emotional event, whereas real heart palpitations arise without a clear psychological trigger.
Relief with Relaxation
Anxiety-induced palpitations often subside with techniques like deep breathing or meditation. Real heart palpitations may not improve until the underlying issue is addressed.

When to Seek Medical Help

If you experience any of the following symptoms, seek immediate medical assistance:
Persistent chest pain
Severe shortness of breath
Dizziness or fainting
Palpitations that do not subside with rest or relaxation

Conclusion

Palpitations, whether stemming from anxiety or heart conditions, can be concerning. Understanding the differences between anxiety-induced and real heart palpitations is crucial for proper management. If you are unsure about the nature of your symptoms, consulting a healthcare professional for a comprehensive evaluation is the safest approach.

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