I've worn many heart monitors over the years because I have PVCs which are also worsened by anxiety (which they CAUSE so there's a real problem) and mine are cardio/gastro (meaning, my stomach causes the heart to "skip a beat") so I've learned to basically ignore them. I even had three during a nuclear stress test, totally unremarkable, not even a blip on the report so alot of people have them. Heart monitor doesn't explain spikes in BP and even a 24 hour BP monitor doesn't explain them, just shows them. Both times this spike occurred, I took my BP under extreme stress. Cardiologist's PA told me it's the STRESS, a normal healthy reaction to stress is elevated BP. They want me to try to get some control of my anxiety so the spikes won't occur because significant BP spikes over and over again can cause damage but I'm old already, I'm going to drop dead one day sooner than later. It's not like when I was young, especially in my 40s while raising my daughter, when I had PVCs butnever took my BP which I bet was sky high also. I can't tell myself this isn't going to kill me because one day it will, whatever "it" is. I probably won't be alive in five years. So telling myself well I'm young and this isn't going to kill me doesn't work. I'm not young and it certainly might kill me. What I do now is anticipate a higher BP reading and try to avoid taking it in the middle of the day because now I'm anticipating it's going to be high and so it will be.