I can't diagnose you but suggest you get the full heart review so you can end the question marks. It is unlikely you have anything as your doc says, however if it cures your anxiety it is worth doing so I am surprised she wont go for it.
I would ditch the heart checking devices like Apple watch if you get the full heart review and the doc finds your heart is ok. I never check my heart rate and imagine constantly reviewing data that you fear is increasing your anxiety, and will never allow you to accept the results.
Fear of cardiac issues is seemingly quite common and I have some myself! I'm sorry you are also worrying about this. It's been a couple of years since you had your cardiac work up. I'd do another. My husband has had chest pain and it was determined it was anxiety. Treating the anxiety makes that symptom less. Why did you go off the Lexapro? You may be a person who needs more long term usage of medication. So, my recommendation is to get a full physical including cardiac work up and to consider a long term anxiety medication like Lexapro again. Let us know what you think!
If the pain is in the sternum area that's not the chest, so that's one important thing as it suggests it is more like GERD than a heart problem. Many anxiety sufferers have digestive problems, for example not thoroughly chewing their food because it's hard to relax and slow down while doing anything. I'm not sure the anxiety you're describing is all that severe, however, and I'm wondering if anyone has referred you to therapy so you can stop thinking like this. Meds can help with symptoms, but as you've discovered, meds always come with problems, and if you can fix it with therapy -- and there's certainly no guarantee you can -- it's gone. It's never gone with meds, you just don't notice it as much until the med stops working. As for the sternum pain, if it is digestive in nature, working on your diet can be helpful. So can exercise. Avoiding exercise because you fear a heart attack is backwards considering you don't have a problem so serious that your doc felt the need to send you to a cardiologist at this point. I have had this sternum thing for a long time, and I deal with it by doing abs, which helps prevent bloat, and meditation. As for your diet, while you may think it's healthy, it may not actually be healthy. Salads, for example, are only healthy if what's in the salad is healthy. I wonder as well if you're getting enough protein and sufficient electrolytes, especially magnesium and potassium, the lack of which can also cause nerve and muscle pain. You might also try chamomile tea -- chamomile is not only a mild relaxant, it also helps to reduce inflammation in the digestive tract, so it's a double threat for what's bothering you. Also make sure you don't eat within a couple of hours before lying down, assuming there is some reflux going on. Don't take this as a diagnosis, I can't do that, and don't take this as disagreeing with the others that a full workup with a cardiologist might ease your mind -- the other advice already given is worth consideration. I only got involved because you mentioned the pain is at the sternum, and that's not a typical area of heart problems, but it is a typical area where anxiety sufferers get pain from digestive problems caused by an anxious stomach and anxious eating habits and lack of exercise.
Dude you are me wow. I’m 28 and I could have wrote this post. My anxiety and panic disorder over the years has completely deflected to my health. And almost every single day I feels aches or pains or general feelings of not being well, and I’m set into constant worry, it’s an awful loop. My heart has become my biggest concern that I am always latching onto and going back to. I have been to 2 different cardiologists, and had every heart workup you can imagine, 2 times over. We’re talking about countless ekgs, blood tests, 2 stress tests, 2 echocardiograms, 2 holter monitors, calcium score ct scan, and not to mention the few trips to the ER and all the tests they afministered. All has come back normal of course, yet I still find myself here so I started CBT several months ago. Definitely helped for a few months, then around holiday time I reverted back to where I was. I decided enough was enough and under the guidance of a psychatrist was recommended lexapro was the necessary next step to get my quality of life back. I’ve been on the lexapro now for only a week at 5 mg. I’m doing 2 weeks at 5 before going up to 10 mg. Since you’re so similar to me I was wondering how you felt that first week or so on the lexapro, for me it has generally made me feel very weird. That’s the only way I can describe it my body just feels weird and sometimes my mind goes through a quick weird spell. Lots of different sensations I’m not even used to. Curious to hear from your end