Brief Answer:
Anxiety attack

Detailed Answer:
Greetings and welcome to HCM. I understand your concern, after carefully reading your query.

As I recall, if I am correct, we had another discussion about your health condition one or two months ago. Cold sweating indeed may be an accompanying symptom of a heart attack, very rarely a sole symptom, but it requires also basic symptoms such as chest pain (angina with all of its radiation characteristics), shortness of breath etc. Also, it is almost impossible to happen in a 34-year old woman.

Now, let us carefully look at the facts. Your EKG was normal in a number of cases. If there would be a heart attack, the EKG would show it. Angio computed tomography (CT) of the coronary arteries is carried out to seek for atherosclerotic plaques in coronary artery(ies). Although not recommended for young ages, I see you have undergone one. A heart attack to happen "needs" an existent atherosclerotic plaque which ruptures, blood clot is formed and heart attack happens. Your angioCT was normal. This is means that there are no plaques, which means that there is nothing to rupture to produce a heart attack. My opinion is that this is the strongest fact that a heart attack nor happened nor is happening, even though you experience your symptoms.

I recall to have discussed with you the possibility of generalized anxiety disorders with panic attacks. Everything "out of the order" for patients with GAD, may trigger a panic attack. Cold sweats may be present during panic attacks. Therefore, I recommend you to discuss with your psychiatrist about this episode, and about the possibility of being started on dual therapy to supress and prevent these panic attacks. A anti-psychotic drug, in combination with a bendozidazepine should be tried, to ameliorate the quality of life and work. However, my strongest opinion is that there is nothing wrong with your heart, and you should consult your psychiatrist.

I hope my answer is helpful. I am here to help, if you have follow-up questions.

Wish you a good health,
Dr. Meriton

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Brief Answer:
No worries

Detailed Answer:
Hello again and welcome back.

I am really glad that I was helpful. It is probably because of anxiety and the panic attack generated from the "what is wrong with me?" that any person asks oneself when is having a panic attack. Do not hesitate to seek consultation with a psychiatrist, as generalized anxiety disorder is not a mind disease. It is treated by the psychiatrits merely because it can and does affect on one's quality of life and work.

I hope this helps. Kindly close the discussion and rate the answer, if you do not have follow-up questions.

Best of wishes,
Dr. Meriton

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