[18M] Experiencing bradycardia and chronic anxiety

Patient Description

An 18-year-old male has been experiencing bradycardia for approximately 1 month, with heart rates ranging from 50-85 bpm, which normalizes upon standing or sitting up. The patient also reports a lifelong history of anxiety, which has recently become so severe that it has resulted in 3 months of bed rest. The anxiety is particularly triggered by health-related concerns, and no effective coping mechanisms have been identified. The patient has not experienced any fainting or near-fainting episodes, swelling, chest pain, or other symptoms. There is no past medical history of chronic illnesses or known allergies, and the patient is not currently on any medications and has not used tobacco, alcohol, or drugs in recent months. The prolonged bed rest has led to a decrease in physical fitness and muscle strength.

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Arora's Assessment

What might be happening

Based on the information provided, here are some possible explanations for your symptoms:

  • Bradycardia: This is a condition where the heart rate is consistently lower than normal, typically under 60 beats per minute for a resting heart rate. It can be a normal variant in healthy young adults, especially athletes, but can also be caused by certain medical conditions or medications. In your case, it seems to be more noticeable when you're lying down, but it doesn't cause you any discomfort and usually subsides when you stand or sit up.

  • Anxiety: You've been dealing with anxiety your whole life, and it's been particularly challenging recently, causing you to be bedridden for the past three months. Your anxiety seems to be triggered by health-related concerns. Anxiety can sometimes cause physical symptoms, including changes in heart rate.

What you can do

  1. Consult a healthcare professional: Given your symptoms and their impact on your life, it would be beneficial to seek medical advice. A healthcare professional can provide a proper assessment, diagnosis, and treatment plan.

  2. Monitor your symptoms: Keep track of your heart rate and any other symptoms you may experience. This information can be helpful for your healthcare provider.

  3. Practice relaxation techniques: While you seek medical advice, you might find it helpful to try some relaxation techniques to help manage your anxiety. This could include deep breathing exercises, progressive muscle relaxation, or mindfulness meditation.

What you should look out for

If you experience any of the following symptoms, seek immediate medical attention:

  • Chest pain or discomfort
  • Shortness of breath
  • Fainting or near-fainting spells
  • Rapid or irregular heartbeat
  • Severe dizziness or lightheadedness

Please note that this advice is intended to be general in nature, and specific causes may not apply to your personal circumstances. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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1 yr ago

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People Also Ask


What is bradycardia and should I be concerned about it?

Bradycardia is a condition where the heart rate is slower than normal, typically under 60 beats per minute. It can be normal in healthy young adults, especially athletes, but if it causes symptoms like dizziness or fainting, it should be evaluated by a healthcare professional.


How can anxiety affect my heart rate?

Anxiety can cause physical symptoms, including changes in heart rate. It can lead to an increased heart rate during anxiety attacks, but chronic anxiety might also contribute to variations in heart rate, including bradycardia in some cases.


What are some effective ways to manage severe anxiety?

Effective ways to manage severe anxiety include cognitive-behavioral therapy (CBT), medication prescribed by a healthcare provider, and relaxation techniques such as deep breathing, progressive muscle relaxation, and mindfulness meditation.


When should I seek medical attention for my symptoms?

You should seek medical attention if you experience chest pain, shortness of breath, fainting or near-fainting spells, a rapid or irregular heartbeat, or severe dizziness or lightheadedness.


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