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Yes, a panic attack can sometimes mimic certain features of atrial fibrillation (AFib) on an electrocardiogram (EKG or ECG). During a panic attack, the body's stress response can cause rapid and irregular heartbeats, similar to some of the irregularities seen in AFib. However, it's important to note that panic attacks and AFib are distinct conditions with different underlying causes.

During a panic attack, the body releases stress hormones like adrenaline, which can lead to physiological changes, including:

  1. Increased Heart Rate: Panic attacks can cause a sudden increase in heart rate, known as tachycardia. The heart rate may become rapid and irregular.

  2. Palpitations: People experiencing a panic attack may feel palpitations or sensations of their heart pounding or racing.

  3. Chest Discomfort: Panic attacks can cause chest pain or discomfort, which can be mistaken for heart-related issues.

While these symptoms may resemble AFib, there are some key differences:

  1. Duration: Panic attacks are generally short-lived and last for a few minutes to an hour. In contrast, AFib is a continuous or recurrent irregular heart rhythm that lasts longer.

  2. Triggers: Panic attacks are often triggered by acute stress or anxiety, while AFib may have various underlying causes, including heart disease, hypertension, and other medical conditions.

  3. EKG Findings: On an EKG, panic-induced tachycardia may appear similar to some aspects of AFib. However, a skilled healthcare professional can usually differentiate between the two based on specific EKG patterns and clinical symptoms.

If someone experiences symptoms of irregular or rapid heartbeat, chest discomfort, or any concerning cardiac symptoms, it is crucial to seek immediate medical attention for proper evaluation and diagnosis. A healthcare professional can perform an EKG, review medical history, conduct physical examinations, and potentially conduct further tests to determine the exact cause of the symptoms.

It is important to remember that while panic attacks can mimic AFib on an EKG, they are both separate conditions that require appropriate evaluation and treatment. If you or someone else experiences symptoms of a panic attack or possible heart-related issues, seeking prompt medical attention is crucial for accurate diagnosis and appropriate management.

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