When Anxiety Feels Like a Heart Problem: Understanding the Link Between Palpitations and Mental Health

At 14th Street Medical Arts, we frequently see patients who report troubling symptoms such as palpitations, chest discomfort, and anxiety. These symptoms often overlap and create a confusing picture—not only for the patient but sometimes even for experienced clinicians.

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Anxiety or Heart Problem?

One of the most common questions patients ask is:
“Is my heart racing because of anxiety, or am I anxious because of my heart racing?”
This is a valid concern and not always easy to answer right away. Palpitations—a feeling that the heart is skipping a beat, beating too fast, or fluttering—can be a physical manifestation of anxiety. At the same time, they could be caused by an underlying heart rhythm issue, such as arrhythmia or another cardiovascular condition.

The good news is that in many cases, symptoms like palpitations do not indicate serious heart problems. However, the uncertainty alone can fuel more anxiety, creating a frustrating and exhausting cycle for patients.

Why You Should Get a Cardiovascular Workup

The most effective way to break this cycle is through a comprehensive cardiovascular evaluation. At 14th Street Medical Arts, we offer a complete workup including:

• Echocardiogram: A non-invasive ultrasound of the heart that shows how well your heart is functioning.

• Event Monitor (or Holter Monitor): A portable device worn for several days to capture any abnormal heart rhythms as they happen.

When these tests come back normal, patients often experience significant relief. Knowing that your heart is structurally and functionally healthy can dramatically reduce anxiety and help shift the focus toward managing emotional well-being instead.

Peace of Mind Is a Treatment Too

Sometimes, reassurance from objective, professional testing is the best treatment for anxiety-related symptoms. Rather than living with uncertainty, taking proactive steps to rule out serious issues helps patients regain control and peace of mind.

At 14th Street Medical Arts, we provide same or next-day appointments, and offer affordable self-pay options for those without insurance or dealing with high deductibles.

If you’ve been living with unexplained palpitations or anxiety about your heart health, don’t wait. Schedule your cardiovascular evaluation today and take the first step toward clarity and peace of mind.

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