Could stress be the cause of rapid heart beat and breathlessness?
Patient: My 20 year old grand daughter has had 3 episodes of rapid heart beat and breathlessness. She  said she's had it before but only periodically and not in a cluster. What could cause this. She says she's not under undue stress right now.e mail  YYYY@YYYY Doctor: Hello and thanks for writing.I can understand your concern and would try to help you in the best possible way. Yes, stress, anxiety or panic attacks could be a cause of these symptoms especially in young patients. However if the problem is recurrent then other conditions like hyperthyroidism may be considered.I suggest you consult a doctor who would enquire for her full medical history and perform relevant investigations to rule out secondary causes.In the mean time try to engage her in physical activity, yoga and other relaxation techniques and have family talk sessions to reduce any stress she may have.