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Hi, Given your history of panic attacks and cardiology phobia, it's understandable that you're concerned about your recent gym-induced episodes. The symptoms you're experiencing – sweating, high heart rate, and palpitations – are consistent with panic attacks. However, the fact that your Apple Watch ECG reading came out normal and your blood pressure was within a healthy range after 10 minutes suggest that, in this instance, your heart is functioning normally. It's possible that your anxiety is triggered by the physical exertion at the gym, which is causing your body to respond as if you're in a real-life emergency situation. Exercise-induced anxiety is a relatively common phenomenon, and people with a history of anxiety disorders, including panic attacks, are more susceptible to it. As you're already taking Paroxetine (Paxil) 25mg daily for the past 5 years, it's essential to consult with your psychiatrist to reassess your treatment plan. Your doctor may recommend increasing the dosage, switching to a different medication, or adding a complementary medication to help manage your anxiety.

It seems to be an Anxiety disorder. It needs to be addressed asap otherwise it may get complicated. It can be treated well with counseling sessions and homeopathic medicine effectively. It needs to be treated in a holistic approach for complete recovery. You need an expert psychologist who is a good homeopathic physician.

Your symptoms, such as high heart rate and sweating during workouts, appear consistent with anxiety or panic-related reactions, especially given your history of cardiophobia and panic attacks. The normal ECG and BP readings are reassuring, but persistent symptoms may benefit from further evaluation to rule out any physical concerns while addressing the psychological aspects.

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Experiencing a panic attack in the gym can be distressing, but it’s important to know you’re not alone, and it’s manageable. When it happens, try to pause and focus on grounding techniques—take slow, deep breaths, count to five as you inhale and exhale, or focus on a calming object around you. Step away to a quieter space if possible and remind yourself that this feeling will pass. Reflect on potential triggers and consider easing into your routine with lower intensity. If panic attacks persist, therapy can help you identify causes and develop coping strategies. Be kind to yourself—your mental health is as important as your physical health

Hi...Please get yourself checked thoroughly by a Cardiologist. Post-covid this kind of heart related issues have become very common. Although, these symptoms suggest panic/ anxiety issues, but it is wise to get tested for heart related issues by a Cardiologist first. Once you get a green chit from a Cardiologist, you can go ahead with your treatment by a Psychologist.

1. Take plenty of fluids at the gym 2. Hope there is air conditioner, otherwise come to a ventilated area like outdoors or near open window 3. Consult me for phobia , start facing your small fears gradually you can overcome 4. Do activities that keep you calm like listening to calm music or relaxation exercises or meditation 5. Weekly counselling sessions are recommended

Hi, Panic or anxiety attacks regarding cardio concerns can be due to unresolved trauma or grief. I suggest you meet with a clinical or counselling psychologist to understand or explore further about your triggers and working towards strategies to help with anxiety or panic attacks.