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Can You Die From a Panic Attack?

Dorianne Green
Author:
Dorianne Green
Medical Writer
Dr. Henry Bradford
Medical Reviewer:
Dr. Henry Bradford
MD

Highlights

  1. The symptoms of panic attacks like a fast heartbeat, shortness of breath, and chest pain happen because of the body’s fight-or-flight response. These strong physical reactions can feel similar to a heart attack.
  2. Along with the physical symptoms, people often feel afraid of dying, have a sense of doom, or worry about losing control during a panic attack.
  3. Even though panic attacks feel scary, they are not life-threatening. However they can be harmful in other ways including functional or social impairment.
  4. Panic attacks are often a sign of an underlying anxiety disorder.

A panic attack[1] is a sudden wave of intense fear caused by different triggers, from a crowded place to an unsettling memory; or even happens unexpectedly. Panic attacks come on quickly and peak within minutes, and the symptoms can make you feel overwhelmed.

This article will help you understand panic attacks, why they feel life-threatening (and whether they actually are), and how to manage them.

Panic disorder is treatable. Book an appointment to get personalized support in 24 hours.

Can You Die From an Anxiety or Panic Attack?

It’s understandable to feel scared when experiencing panic attacks because of strong physical reactions and symptoms[2] . These include, for example:

  • A racing heart, forceful heartbeat, or chest pain
  • Feeling short of breath, being choked, or suffocated
  • Sweating, flushing, chills, or heat sensations
  • Feeling dizzy, off-balance, or lightheaded
  • Numbness or pins-and-needles

But even though they feel dangerous, panic attacks alone can’t kill you. In fact, there aren’t any published statistics on the panic attack death rate.

"While a panic attack itself, when appropriately identified after medical causes have been ruled out, is not life-threatening, recurrent panic attacks can significantly impair quality of life and daily functioning. The absence of mortality risk does not mean panic attacks are harmless, and professional mental health support is strongly encouraged."
Dr. Henry Bradford, MD
Medical provider at MEDvidi

Why Do Panic Attacks Feel So Dangerous?

The intense fear of dying[2] and losing control are common symptoms during a panic attack. Since you may experience physical sensations like choking or chest pain and racing heart, panic attacks feel scary. All this happens because your body activates the fight-or-flight response, which promotes adrenaline production and increases your fears. However, even though panic and anxiety attacks can make you feel like you’re dying, they are not harmful.

Are There Any Long-Term Health Risks?

Physical Health Risks

While a panic attack itself won’t kill you, there is some evidence that frequent panic attacks and panic disorder[1] (PD) are associated with an increased risk of cardiovascular issues[3] and sudden death in certain people[4] . While panic attacks don’t make heart attacks happen, there seems to be a connection between recurrent panic attacks[5] and heart issues; however, it’s still unclear why.

Mental Health Risks

The psychological symptoms of a panic attack are anxiety-driven and fear-based: fear of dying, fear of losing control, or fear of going “crazy”. So, it makes sense that panic attacks can impact mental health; people who experience panic attacks may start to fear having another one, causing a vicious cycle that might lead to a diagnosis of panic disorder.

Potentially worsened heart issues, altered gut microbiota, and mental health complications are some of the possible consequences of untreated panic attacks. Also, sadly, the suicide rate is higher[1] in patients with panic disorder. Although comorbid issues can happen for other reasons, it’s still important to get a diagnosis and a treatment plan for anxiety and panic disorder to reduce the risks and live a more fulfilling life.

Avoid long-term effects of panic attacks, get personalized treatment for anxiety from home.

When to Seek Medical Help

Because panic attacks can present like life-threatening conditions, you should immediately go to the ER in the following cases:

  • If you have panic attack symptoms that require urgent evaluation to rule out medical causes:
    • Chest pain or discomfort
    • Trouble breathing
    • Dizziness or fainting
  • If you are worried and need reassurance.

You should also seek professional help if you have thoughts of physical harm to yourself or others, panic attacks that are frequent or severe, or if they disrupt any area of your daily life.

Is It a Panic Attack or a Heart Attack?

When you add physical symptoms like shortness of breath, chest pain, numbness, and dizziness, it’s easy to mistake a panic attack for something life-threatening, such as a heart attack, blood clot, or stroke. There are a few things to remember:

  • If you have a panic attack, the pain is stabbing and stays in the chest. If it’s a heart attack, pain feels like pressure or squeezing. Note that patients with both panic attacks and heart attacks may feel their pain radiating to an arm or neck.
  • Heart attacks are usually related to physical exertion but can also happen at rest. Panic attacks usually happen because of emotional reasons (or unexpectedly).
  • Panic attacks peak within minutes and resolve quickly while heart attacks may worsen either suddenly or gradually and tend to persist.

During a panic attack, stress triggers the body’s fight-or-flight response, leading to physiological responses. In contrast, in fatal physical illnesses, symptoms are caused by reduced blood supply to the heart, lungs, or brain.

Only a healthcare provider can make a diagnosis. If you have severe symptoms, unusual sensations, or any other doubts and concerns regarding your health, see a medical professional immediately.

"Because panic attacks can closely resemble serious medical conditions, sudden symptoms like chest pain or shortness of breath should be evaluated urgently. A panic attack should only be diagnosed after all life-threatening medical causes have been ruled out."
Dr. Henry Bradford, MD
Medical provider at MEDvidi

How to Cope During a Panic Attack

If you think you’re having a panic or anxiety attack, here are a few effective coping strategies to try while you get to a doctor:

  • Don’t fight the fear and symptoms. Remember that, although it’s frightening, it’s just your body’s protective response.
  • Slow the fight-or-flight response with deep breathing: inhale for 4 seconds, hold for 4 seconds, exhale for 4 seconds, hold for 4 seconds, and repeat 4 times.
  • Focus on what’s happening around you (this is also known as grounding), for example, by counting backwards from 1000 or naming the blue objects in the room.
  • Try this relaxation technique: tense your shoulders for 5 seconds, then let them fall, as if a heavy coat is sliding down your arms.
  • Remind yourself that the panic attack will end soon, typically within 20 to 30 minutes.

These strategies can help reduce your symptoms and ease the feeling of impending doom.

Treatment and Prevention of Panic Attacks

Thankfully, there are effective options for treating panic attacks and panic disorder; your mental health professional may recommend therapy, medication, or both, on top of lifestyle changes.

​Start keeping a journal to identify triggers that increase your anxiety, and then you can do something about them. Next, ensure your brain and body are in tip-top health by eating a balanced diet, sleeping enough, and getting regular exercise.

​When it comes to talk therapy, your therapist will help you rewire your nervous system, replacing negative thought patterns with neutral or positive ones. This changes how your body and brain feel and respond to those thoughts.

Medication may also be part of your treatment plan for anxiety disorder, if your doctor thinks it’s right for you:

  • Panic disorder is a type of anxiety disorder[6] , and the baseline medications used are antidepressants. These include selective serotonin reuptake inhibitors (SSRIs) and serotonin norepinephrine reuptake inhibitors (SNRIs). They can take 6 to 8 weeks to control symptoms.
  • While waiting for antidepressants to work, doctors might prescribe short-acting anti-anxiety medications for temporary relief, including benzodiazepines, which can reduce stress, anxiety, and panic quicker. These can also be prescribed without antidepressants.
  • Beta-blockers can help prevent the physical symptoms of panic by blocking the effects of stress hormones released during the fight-or-flight response.
Have an online evaluation and receive a personalized treatment plan for anxiety online.

Myths and Misconceptions About Panic Attacks

Let’s clear up some common myths and misconceptions about panic attacks, which often come from misunderstanding and stigma.

Myth #1. They are signs of weakness or poor control

Panic disorder and panic attacks are not caused by character flaws, lack of willpower, or overreacting. Instead, they result from[6] a combination of factors, such as:

  • A family history
  • Differing brain chemistry
  • Situations out of the person’s control, for example, trauma and childhood experiences

Myth #2. They last hours

On average, panic attacks last 20 to 30 minutes[7] and rarely last as long as an hour.

Myth #3. No treatment is needed

Getting diagnosed and treating panic attacks is important to prevent future mental health problems and other issues in daily life.

Myth #4. They cause permanent damage

Even though symptoms like numbness and chest pain can be frightening, and frequent panic attacks can have certain long-term health consequences, they don’t cause permanent organ damage.

Myth #5. They always lead to fainting

During a panic attack, blood pressure usually goes up, so fainting is rare. Dizziness and lightheadedness are much more common; and if you faint, it’s usually due to hyperventilation.

Conclusion

Panic attacks are not deadly but they are distressing and often they point towards an underlying anxiety disorder that needs management. The good news is that anxiety disorders are treatable, so it’s important to see a healthcare provider for evaluation and personalized recommendations. MEDvidi’s team can provide online support for anxiety; book an appointment today to get help in 24 hours.

FAQs

No, panic attacks alone are not life-threatening, even though they can make you feel like you are dying.
Yes, panic attacks and anxiety can cause feelings of dying or impending doom.

Anxiety itself shouldn’t impact how long you live; however, it may affect your quality of life, and therefore it is essential to be diagnosed and treated.

No, anxiety and panic attacks are not life-threatening, although if left untreated, they can negatively affect social life and daily functioning or cause significant distress.

Panic attacks aren’t harmful or life-threatening. However, if they are not diagnosed and treated, they can impact quality of life, cause suicidal thoughts, substance abuse, and increase the risk of heart issues.

There is no official panic attack death rate published, so the chances of dying from one is virtually zero.
No, panic attacks, whether they happen in your sleep or during the day, are not fatal, even though they might make you feel like you are dying.

Sources

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7 sources
  1. Cackovic C, Nazir S, Marwaha R. Panic Disorder. [Updated 2023 Aug 6]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-.
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  2. Substance Abuse and Mental Health Services Administration. Impact of the DSM-IV to DSM-5 Changes on the National Survey on Drug Use and Health [Internet]. Rockville (MD): Substance Abuse and Mental Health Services Administration (US); 2016 Jun. Table 3.10, Panic Disorder and Agoraphobia Criteria Changes from DSM-IV to DSM-5.
    Source link
  3. Katerndahl DA. The association between panic disorder and coronary artery disease among primary care patients presenting with chest pain: an updated literature review. Prim Care Companion J Clin Psychiatry. 2008;10(4):276-85. doi: 10.4088/pcc.v10n0402. PMID: 18787675; PMCID: PMC2528236.
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  4. Smoller JW, Pollack MH, Wassertheil-Smoller S, et al. Panic Attacks and Risk of Incident Cardiovascular Events Among Postmenopausal Women in the Women’s Health Initiative Observational Study. Archives of General Psychiatry. 2007;64(10):1153.
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  5. Tully PJ, Wittert GA, Turnbull DA, Beltrame JF, Horowitz JD, Cosh S, Baumeister H. Panic disorder and incident coronary heart disease: a systematic review and meta-analysis protocol. Syst Rev. 2015 Mar 25;4:33. doi: 10.1186/s13643-015-0026-2. PMID: 25875199; PMCID: PMC4376084.
    Source link
  6. Chand SP, Marwaha R. Anxiety. [Updated 2023 Apr 24]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-.
    Source link
  7. Manjunatha N, Ram D. Panic disorder in general medical practice- A narrative review. J Family Med Prim Care. 2022 Mar;11(3):861-869. doi: 10.4103/jfmpc.jfmpc_888_21. Epub 2022 Mar 10. PMID: 35495823; PMCID: PMC9051703.
    Source link
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Dorianne Green
Author:
Dorianne Green
Medical Writer
Dr. Henry Bradford
Medical Reviewer:
Dr. Henry Bradford
MD
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