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sidewalk? We also dread the thought of passing out for fear that we may never wake but fall into a coma. Passing out is caused by a lack of blood to the brain. When we faint, the body falls to the ground and allows blood to be easily supplied to the brain—which is, again, another of the clever safety mechanisms of the body. Quite simply, fainting during a panic attack is highly uncommon due to the amount of blood that is being circulated. Your heart is usually beating fast and there is little worry that the brain would be short of fresh supply. The dizziness often felt during a panic attack is caused by increased respiration, and while it may be confusing for the individual, it is harmless and does not lead to fainting. Heart Attacks This really is a minefield and almost anyone who has suffered from panic attacks at some point will fear for the health of their heart. Let us look at the facts of heart disease and see how this differs from panic attacks. The major symptoms of heart disease are breathlessness and chest pain, as well as occasional palpitations and fainting. Such symptoms are generally related to the amount of physical effort exerted. That is, the harder you exercise, the worse the symptoms, and the less you exercise, the better. The symptoms will usually go away quickly if the individual rests. This is very different to the symptoms associated with panic attacks. Certainly, panic symptoms can occur during exercise, but they are different to the symptoms of a heart attack as they occur frequently at rest. Of most importance, heart disease will almost always produce major electrical changes in the heart, which are picked up very obviously by an EKG. In panic attacks, the only change that shows up on the EKG is a slight increase in heartbeat rate. 16