I'm curious if it's normal for my heart to race and beat really hard, almost like it's going to jump out of my chest, whenever I'm anxious or getting up from sleeping. It feels pretty intense and I'm also quite thin. I've done an ECG, an echo, and had blood tests, and everything came back normal. Is this something I should be worried about?

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Dr Kareemulla Shaik

General Practitioner

MBBS
0+ Yrs

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Experiencing a racing heart and strong heartbeats when anxious or when standing up quickly can be related to anxiety and a condition called orthostatic hypotension, which is a sudden drop in blood pressure upon standing. Given that your ECG, echo, and blood tests are normal, it's less likely to be a severe cardiac issue. Managing anxiety through techniques like deep breathing exercises, mindfulness, or therapy can help. Additionally, when standing up, try to do it slowly to give your body time to adjust. If your symptoms persist or worsen, consult your healthcare provider for further evaluation and to discuss additional strategies for managing your symptoms.

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Answered 04/07/2025

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