Can extreme fear and stress lead to a heart attack or cardiac arrest in someone under 25, even if they don't have a history of heart problems? I'm really curious because I've been feeling super overwhelmed lately and it worries me.

Extreme fear and stress can have significant effects on the heart, even in young individuals without a prior history of heart problems. Here's what you should know:

1. Stress and Heart Function: Intense emotional stress can trigger a surge of stress hormones like adrenaline, which temporarily increase heart rate and blood pressure.

2. Risk of Heart Events: While rare in young, healthy people, extreme stress can sometimes lead to serious heart issues such as a heart attack or cardiac arrest, especially if there are undiagnosed heart conditions.

3. Stress-Induced Cardiomyopathy: Also known as "broken heart syndrome," this condition mimics a heart attack and is triggered by severe emotional or physical stress.

4. Importance of Medical Evaluation: If someone experiences chest pain, palpitations, fainting, or severe shortness of breath during or after extreme stress, they should seek immediate medical attention.

5. Preventive Measures: Managing stress through relaxation techniques, counseling, regular exercise, and a healthy lifestyle can help reduce risks.

In summary, while it's uncommon for a healthy 23-year-old male to have a heart attack or cardiac arrest solely due to extreme fear or stress, it is not impossible. If you or someone you know experiences concerning symptoms, consulting a healthcare professional is important for proper evaluation and peace of mind.