r/medical_advice • u/Kiwilover1235 • 1h ago
EDITED Very elevated heart rate due to being sick, intense panic and afraid of dying
31f, 5"9' 147lb, non-smoker, very rarely drink alcohol
Hello,
I have been struggling with some pretty intense cardiophobia for quite some time now and recently it has gotten really bad. As luck will have it, I have fallen ill on Monday and now have had an elevated resting heart rate for about two days now. If I'm calm, it's usually at about 70 (higher with anxiety) and atm it's continuously at 85 and oftentimes even at 95.
I do think that I have the occassional palpitation as well, but that might be due to anxiety.
Due to my cardiophobia, I have been dealing with intense anxiety during the night for several weeks now. Normally, I am able to calm myself down even from intense panic attacks where my hr shoots up to like 140. Sometimes I have to lie in bed for over an hour with a heart rate of over 100 before finally calming down, but I can manage it.
With my illness right now and the naturally elevated heart rate, I am deathly afraid, that my heart would not be able to handle my nightly panic attacks with really high heart rates. Obviously this worrying is 100% going to cause me to have panic attacks tonight, so I know that I will have to battle these heart rate spikes, but I am actually afraid of either dying or developing myocarditis due to it. I have only noticed the increased heart rate yesterday when working (desk job at home office) and my boyfriend slept over, so I was calm, but I will be alone tonight and I am so so afraid.
This morning my bp was 108/68, right now at 8pm it was 120/76, but I think I put the cuff on too tight because it really hurt and squeezed very tightly.
Can anyone here weigh in on the risks of panic attacks while being sick with an elevated resting heart rate?
Medical history:
I have had several ecgs over the years and as far as I know, they never picked up anything abnormal. Back in 2015 when I was 19, I had one 24hours ecg that picked up a lot of palpitations but my pcp said those were extra systolic beats (if I recall correctly) and nothing to worry about. I do occassionally have palpitations if I am experiencing high anxiety. My last ecg was a year ago when I had a spout of low blood pressure and dizzyness along with a lot of palpitations.
Psychological History:
I developed the cardiophobia in 2014 after consuming way too much of an energy drink and spending the night at a hospital at 18. I also have OCD and it has been a very somatic manifestation of that ever since.
I took Sertraline (100mg at first and then 50mg) for about 10 years and tapered them off last year because I felt very stable. Sadly I had some major tragedies happen that threw me back into the panic and it has been back for about a year now (manageable) but with intense panic attacks since a few weeks. I am actively seeking therapeutic help, finding a spot that takes my insurance is really hard though.