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Pulmonary Embolism vs. Panic Attack: Symptom ComparisonSymptom Pulmonary Embolism Panic AttackOnset Sudden, often with exertion Sudden, often at rest or with stressShortness of breath Severe, persistent Intense but typically short-livedChest pain Sharp, may worsen with breathing Tightness or pressure-likeHeart rate Tachycardia (rapid heart rate) Tachycardia (rapid heart rate)Oxygen saturation Often decreased Usually normalCough May be present, sometimes bloody Rarely presentLeg pain/swelling Often present (DVT symptoms) Not typically presentAnxiety May be present Prominent featureSweating May be present Often profuseLightheadedness Common, may lead to syncope Common, rarely leads to syncopeTingling sensations Uncommon Common in extremitiesDuration Persistent without treatment Usually resolves within 20-30 minsRisk factors Recent surgery, immobilization, DVT History of anxiety, stress triggersPhysical exam May have signs of right heart strain Often normalD-dimer blood test Typically elevated Normal

