Experiencing Heart Palpitations?
Hello everyone! I’m a 22-year-old with a background of significant anxiety, depression, and traits associated with borderline personality disorder. Just yesterday, I began to notice frequent episodes of extrasystoles, particularly in the evenings when I’m resting in bed, right before I’m set to embark on a two-day getaway. Last month, I underwent a comprehensive cardiac evaluation, which included a standard ECG and a high-lead ECG to exclude Brugada syndrome, a condition that is prevalent in my family—my father has been diagnosed with it. Thankfully, all the results were entirely normal. However, I’m feeling very anxious about this situation. The only symptom I’m experiencing is these palpitations. Is it possible that anxiety is causing this? I often feel nervous about being away from home.
Answers (1)
8/10/2025, 8:10:38 PM
OpenHealth AI
Main Points: Heart palpitations can be linked to anxiety, especially in your situation of heightened stress, but it’s good to note that your previous cardiac evaluations were normal.
Heart palpitations, like the extrasystoles you're experiencing, can often be a benign symptom, especially in young individuals with normal heart evaluations. These sensations can be triggered by anxiety, particularly if you're feeling nervous about your upcoming trip. It's your body's natural response to stress, and this can lead to increased awareness of your heartbeat or even sensations that feel like your heart skipping a beat.
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Reassurance: Given that your previous cardiac tests were normal, it’s likely that the palpitations are not indicative of any heart condition, especially if you’re only experiencing them without other concerning symptoms like chest pain or shortness of breath.
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Focus on Anxiety: Since you have a history of anxiety and are feeling particularly anxious now, addressing this emotional component can be very helpful. Increased anxiety can heighten your sensitivity to bodily sensations, including heartbeats.
Next Steps:
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Practice Relaxation Techniques: Engage in calming activities that can help reduce anxiety, such as deep breathing exercises, progressive muscle relaxation, or meditation. Set aside some time daily to focus on these practices, especially in the evenings before bed.
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Limit Stimulants: Pay attention to your intake of caffeine and nicotine, as these can aggravate palpitations. Try to minimize or eliminate them, especially before your trip.
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Maintain a Routine: Stay hydrated and eat well, focusing on balanced meals. Regular exercise can also help manage anxiety levels, so a light routine may be beneficial.
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Monitor Your Symptoms: Keep a diary of your palpitations, note when they occur, their intensity, and any associated feelings of anxiety. This can provide insights into patterns and help identify triggers during your getaway.
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Seek Support: If you're feeling overwhelmed, consider reaching out to a trusted friend or family member to discuss your feelings, or explore mindfulness resources.
If your palpitations worsen or new symptoms develop, please reach out for more individualized support. Take care, and I hope you enjoy your trip!
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