Anxiety Can Stress Your Heart February 7, 2024 A panic attack can feel like a heart attack. It causes a racing heart rate, shortness of breath, sweating and intense fear —but can a panic disorder cause a heart attack? “There is a bidirectional relationship between anxiety and heart issues, meaning that if you already have a history of heart problems, you might be anxious about something happening again, and that can lead to increased anxiety and stress,” said Psychologist Julie Cunningham, PhD, of Samaritan Cardiology – Corvallis. Stress and anxiety disorders can also increase the likelihood of developing a heart condition. “Long-term anxiety and chronic stress lead to an overactivation of the body’s stress response,” Dr. Cunningham explained. “When the stress response is overused, it causes a sustained higher heart rate, long-term elevation of blood pressure, stress hormones pumping at higher levels than they should be — all of that can set the stage for a person being vulnerable to heart attack, stroke, arrhythmias and other heart conditions.” It’s Important to Reduce Anxiety “If someone is having panic attacks or another anxiety disorder, getting treatment, such as therapy and/or medication, is important and can positively impact health,” Dr. Cunningham said. Also, regular exercise can reduce anxiety, as can breathing exercises and yoga. Having good social connections and support also helps. “Research supports the importance of social connectiveness as a way to soften the effects of stress, to calm down the nervous system and give the body a break from stress,” she said. “All of this is ultimately protective of the heart.” If you have concerns about anxiety, talk with your primary care provider. Julie Cunningham, PhD, sees patients at Samaritan Cardiology – Corvallis. She can be reached at 541-768-5205. Learn more about coping with anxiety and emotional distress. Read the experience of a local patient who found relief from feelings of persistent anxiety.