Hey everyone,
I’m currently planning a Pacific Crest Trail thru-hike for 2028. Lately, I’ve been deep in the prep phase—researching gear, watching YouTube videos, and building out solid plans.
Recently, I came across a Reddit post about a hiker who tragically passed away on April 6th from sudden cardiac arrest due to an underlying heart condition (age 43, me 38 by 2028). Ever since reading that, my mind has been spiraling with "what ifs" for 2028. I started overthinking everything: extreme desert heat, high altitude risks like HAPE and HACE, snake bites, bear encounters, and being in the absolute middle of nowhere without quick emergency help.
After reading that post on Reddit , for past 2-3 weeks I’ve been experiencing chest tightness and shortness of breath (which I’m pretty sure is anxiety creeping back, though it’s hard to tell). It’s making me afraid that I won't make it. I used to deal with panic attacks last year and 8years ago, but they had faded away.
Has anyone else dealt with this kind of severe pre-hike anxiety or health anxiety? Are these reasonable concerns, and how did you manage to push through them? Should I be concerned about low oxygen at high altitudes and skip the High Sierra altogether? I'm worried it could cause shortness of breath and trigger a panic attack.
If so, I'm making a plan to prepare for the heat—like bringing a sun umbrella and carrying extra water—and ensuring I take enough time to properly acclimatize to higher altitudes. Also taking boxing classes bear attacks me (im joking with the last one)
P.S. I’ve already booked a cardiac stress test to get my heart fully checked out for peace of mind 😅