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I am a 20 year old overweight male. I have an undiagnosed PVC(usually every 5-8th beat is skipped). I have been having panic attacks randomly since June 2007 usually associated with fatigue. Here recently i have been having chest pains when breathing deeply, tightness in my chest, and pains in my left arm. These pains usually don't start until later in the day(after 4pm). The pains are not overly severe but the do persist off and on for several hours. The pains go away during exercise. When i had my first panic attack I went to the ER and they gave me an EKG which came back fine. I just want to know if these pains are more associated with my anxiety or with my PVC.


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replied September 7th, 2009
Anxiety and Stress Answer A7204
Thank you for taking the time to write in with your question. I can imagine how stressful and scarey it is to not know if there is something wrong with the functioning of your heart.


I am not a physician but a psychologist. I would highly recommend that you consult with the physician who knows your health history best and to be as candid as possible with your experiences, including your anxiety.


It is difficult to know for certain if something has a medical or psychological cause without a direct evaluation.


If both you and your physician are satisfied that your symptoms do not have a medical basis, then I'd highly recommend working with a licensed mental health professional who has expertise in helping patients manage their anxiety.

Best wishes to you,

-Dr. Selby


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