Distinguishing Between Panic Attacks and Heart Issues
I am a 21-year-old female with a background in panic disorder and significant anxiety, currently taking 100mg of Pristiq. I have experienced numerous panic attacks over the years, but today was different. Earlier, I suddenly felt a sharp sensation beneath my left arm, which alarmed me. Shortly after, it seemed as if I had lost the ability to take a deep breath, triggering an overwhelming sense of panic that left me feeling lightheaded. I decided to sit down and took some Klonopin to alleviate the anxiety. Although I continued to tremble for a while, I eventually calmed down, and the dizziness faded. This particular episode was unusually abrupt, and even though it passed quickly, it has left me anxious about the possibility of a heart attack.
Answers (1)

7/1/2025, 1:20:38 AM
OpenHealth AI
Experiencing a sudden sharp sensation under your left arm, difficulty taking a deep breath, and feelings of panic can understandably cause concern, especially with your background in panic disorder. While these symptoms can be associated with panic attacks, it's important to approach them carefully to rule out any heart issues.
Explanation
Panic attacks can mimic symptoms of heart problems, such as chest pain, shortness of breath, and lightheadedness. The sharp sensation you felt could have been related to muscle tension or anxiety, common in panic episodes. It's also worth noting that breathlessness during a panic attack is quite common due to hyperventilation. However, any new or unusual symptoms should be taken seriously, especially in a young person experiencing changes in their usual pattern.
Next Steps
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Monitor Symptoms: Keep a record of any similar episodes, noting the duration of symptoms, triggers, and any other changes. This information can be helpful for later discussions with a healthcare professional if needed.
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Practice Breathing Exercises: When you feel panic or dizziness, try slow, deep breathing techniques. Inhale through your nose for a count of four, hold for four, and exhale through your mouth for a count of six. This can help reduce anxiety and may ease the tightness in your chest.
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Stay Hydrated and Rest: Ensure you are drinking enough water and taking time to relax. Stress can exacerbate both anxiety and physical symptoms.
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Evaluate Stressors: Consider if there are specific triggers or stressors in your life that could be contributing to your anxiety levels. Stress management techniques, such as mindfulness or yoga, might be beneficial.
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Consult Your Healthcare Provider: If you experience similar symptoms again, especially if they worsen or you have any new symptoms (like persistent chest pain, sweating, or severe dizziness), reach out to a healthcare provider to discuss your concerns.
Caring for both your mental and physical health is crucial, and it’s great you’re seeking clarity. Please remember, it’s always okay to seek help if your anxiety continues or you have ongoing concerns about your heart. You're not alone in this.
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