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How to understand if is stress or something else?
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Cardiac & Vascular Health
Question #18645
244 days ago
475

How to understand if is stress or something else?

Thodoris

It's many nights when I go to sleepi have a very strong heartbeat! I feel it in all my body!Iwas at doctors three timesi did everything for heart expect holder! everything was fine and my blood tests also! but I suffer from stress and they all say me it's from stress!do you have anything to tell me or to think to do more for heart?

Age: 34
Stress
Strong heartbeat
$7.5
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Doctors' responses

Hello,

Your tests (ECG, echo, blood work) are normal- heart disease is very unlikely.

Strong heartbeat at night is commonly caused by stress/anxiety and increased adrenaline.

🛑Adrenaline makes the heart beat stronger and faster

Stress-related palpitations usually: Happen at rest or at night Come and go Feel strong but not dangerous Improve with relaxation or distraction

Warning signs to recheck urgently: Fainting Chest pain with exertion Severe breathlessness Long-lasting irregular heartbeat

🛑What helps: Reduce caffeine/nicotine 👍Slow breathing when it starts Good sleep routine Stress management

This sounds like stress-related palpitations, not a heart problem. A Holter test is optional for peace of mind.

👍If you want 100% reassurance, a Holter monitor is reasonable - not because something is likely wrong, but because it can help your mind rest.

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Hello dear See after careful evaluation it seems anxiety only However for the safer side iam suggesting some tests Please share the result with cardiologist for better clarity ECG echo Serum ferritin Serum troponin Serum LDH Serum TSH Crp Esr In addition please follow below precautions Do meditation daily for mental health Do physical exercise atleast half an hour daily Indulge in social media for good entertainment Engage in hobbies for better creativity Hopefully improvement will occur In case of no improvement consult psychiatrist in person for better clarity Regards

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If you’ve already seen a doctor multiple times, and tests like ECGs, echocardiograms, and relevant blood work have come back normal, it’s likely that the strong heartbeat you’re experiencing at night is related to stress or anxiety. Stress can lead to an increased heart rate or heightened awareness of your heartbeat, often called palpitations, which are usually harmless when your heart is otherwise healthy. However, some steps can help reduce this awareness and improve your situation. First, consider lifestyle changes that address stress. Incorporating relaxation techniques, like deep breathing exercises or mindfulness meditation, may be beneficial. Regular physical activity can also reduce stress levels; aim for at least 150 minutes of moderate exercise per week. Limiting caffeine, nicotine, and alcohol intake, especially in the afternoon or evening, could help, as these can sometimes trigger or worsen palpitations. Ensure you’re practicing good sleep hygiene: establish a regular sleep schedule, make your bedroom conducive to sleep, and limit screen time before bed. Since you haven’t tried a Holter monitor yet, you might discuss this with your healthcare provider; it can capture heart rhythms over 24 to 48 hours, potentially providing additional insights. If these lifestyle adjustments don’t seem to alleviate your symptoms or if they worsen, consider revisiting your healthcare provider. While stress may be the primary factor, other possibilities like thyroid issues sometimes present similar symptoms, so a comprehensive assessment remains key. Maintaining open communication with your doctor helps ensure that any change in your symptoms gets appropriately evaluated. Remember, acknowledging and managing stress is often as important as monitoring physical health, and both should be addressed in an integrated manner.

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This sounds like health anxiety + stress, not a heart problem. Treating anxiety often completely stops these symptoms.

Visit a psychiatrist. You need few counselling.

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Hello Thodoris It sounds really distressing to experience a strong heartbeat, especially when you’re trying to sleep. Since you’ve already seen doctors and had tests done that came back normal, it’s good to know that your heart health is being monitored.

Here are a few suggestions to help manage your symptoms: 1. Stress Management: Since stress is a significant factor, consider incorporating relaxation techniques into your routine. Practices like deep breathing, meditation, yoga, or mindfulness can help calm your mind and body. 2. Regular Exercise: Engaging in regular physical activity can help reduce stress and improve overall heart health. Even simple activities like walking or stretching can be beneficial. 3. Sleep Hygiene: Create a calming bedtime routine. Avoid screens before bed, keep your sleeping environment comfortable, and try to go to bed at the same time each night. 4. Limit Stimulants: Reduce or avoid caffeine and nicotine, especially in the hours leading up to bedtime, as they can increase heart rate and disrupt sleep. 5. Talk to Your Doctor: If your symptoms persist or worsen, it might be worth discussing with your doctor again. They may consider additional tests or refer you to a specialist for further evaluation.

Thank you

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