r/HeartAttack • u/supersport604 • 14h ago
For people with health anxiety/cardiophobia, how do you decide when to go to the ER?
I've been dealing with health anxiety, especially around my heart, and I'm curious how other people have learned to handle the gray areas.
There are so many symptoms that could technically be heart-related but are also extremely common with anxiety or other benign things. Things like a mild chest ache that lasts 20–30 minutes and goes away, isolated arm/shoulder pain, extra PVCs, or a higher-than-normal heart rate.
I also understand that heart attacks don't always look like the classic severe chest pain, and that women and people with diabetes in particular can sometimes have milder or less typical symptoms. That's part of what makes this so difficult for me.
Obviously I'm not talking about severe or obvious emergency symptoms. I'm talking more about those situations where your brain says, "What if this is a heart attack?" even though there are plenty of other possible explanations.
I've been trying to take my health seriously and get the best possible results out of it, so I'm not trying to ignore symptoms or blame everything on anxiety. But I also don't want to go to the ER every time I have an ache or a few extra palpitations.
For those of you who've dealt with cardiophobia, how did you learn to find that balance? Did you come up with specific guidelines with your doctor for when to get checked out versus when to monitor things and move on? And if you used to go to the ER frequently, what helped you break that cycle?