Across Texas, emergency departments frequently see patients convinced they are having a heart attack — chest tightness, shortness of breath, dizziness, and numbness.

After testing, results return normal.

What many of these patients experienced was a panic attack, not a cardiac event.

What a Panic Attack Feels Like

Panic attacks activate the body’s fight-or-flight response intensely and suddenly.

Symptoms include:

  • Chest pressure

  • Rapid heartbeat

  • Shortness of breath

  • Sweating

  • Trembling

  • Feeling faint

  • Fear of dying

The symptoms are physical and severe, which is why they are commonly mistaken for heart emergencies.

Why the Body Reacts This Way

The brain interprets perceived danger — even without real threat — and releases adrenaline.
This triggers:

  • Increased heart rate

  • Faster breathing

  • Muscle tension

  • Reduced carbon dioxide levels

These reactions are protective in real danger but overwhelming when triggered unnecessarily.

The Repeating ER Visit Cycle

Many individuals experience:

  1. Panic attack

  2. ER visit

  3. Normal cardiac tests

  4. Temporary reassurance

  5. Another panic attack weeks later

Without treatment, attacks often increase in frequency because the person begins fearing the next episode.

The Fear of the Fear

Eventually, people start avoiding:

  • Driving

  • Stores

  • Work meetings

  • Exercise

They are not avoiding places — they are avoiding the possibility of another attack.

This is called anticipatory anxiety.

Treatment Is Very Effective

Panic disorder responds well to psychiatric treatment.

Care may include:

  • Diagnostic evaluation

  • Medication management when indicated

  • Monitoring reduction of attack frequency

Many patients stop visiting emergency rooms once the correct diagnosis is made and treated.

Getting Help in Texas

Psychiatric services across Texas, including telehealth appointments, allow individuals to address panic symptoms early and regain confidence in daily activities.