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A panic attack is temporary - and you definitely know you are having one. It is the body responding to a mental state. The heart races and pounds, you hyperventilate (breathe hard) and there is a great feeling of anxiety. The blood pressure may go up but it returns to normal as soon as the attack is over. A panic attack while feeling scary does not normally have any dangerous complications and one does not need to be on lifelong treatment.

High blood pressure usually has no obvious symptoms. It is chronic, that is it is a long-term (life-long) disorder. Because of that it has serious potential complications and one needs to be on lifelong treatment though it is possible to avoid medication if one makes appropriate lifestyle changes.

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