22nd February 2024

A 23-year-old presents to the GP practice after having 2 episodes of feeling like she was being suffocated, breathlessness and tingling in her arms.

A 23-year-old presents to the GP practice after having 2 episodes of feeling like she was being suffocated, breathlessness and tingling in her arms.  These episodes lasted a few minutes and then resolved spontaneously. This has never happened before and is worried that she has had a heart attack.  She is normally fit and well. On both occasions, these symptoms occurred following a heated argument with her partner. Her observations are normal.  

Which of the following diagnoses are most likely? 

Select the SINGLE most appropriate option from the list below. Select ONE option only.