Anxiety, indigestion, infection, muscle strain, and heart or lung problems can all cause chest pain. If your chest pain is new, changing or otherwise unexplained, seek help from a health care provider. If you think you're having a heart attack, call 911 or your local emergency number.
Anxiety Chest Pain Symptoms
Sharp, shooting, or stabbing pain. Persistent, dull aching. Tightness, tension, or pressure. A burning sensation.
Red flags to alert a possible diagnosis of heart attack
Clammy, unwell patient. Exertional chest pain. Heavy, tight, pressure type chest pain. Pain radiating to left arm, right shoulder or both arms.
angina, which is chest pain caused by blockages in the blood vessels leading to your heart. pericarditis, which is an inflammation of the sac around the heart. myocarditis, which is an inflammation of the heart muscle. cardiomyopathy, which is a disease of the heart muscle.
Calling 911 for Chest Pain
A visit to the ER for chest pain can be life-saving. When your chest pain persists, is severe, or is accompanied by shortness of breath, nausea, radiating pain, and changes in heart rate and blood pressure, call 911 immediately.
It could be a lung disorder, such as a blood clot to the lungs, known as a pulmonary embolism. Additionally, other causes of chest discomfort include spasm of the esophagus, diseases of the aorta, gastroesophageal reflux disease, musculoskeletal pain, fast heart rhythm abnormalities and costochondritis.
The symptoms of non-cardiac chest pain are chest pain that may be associated with difficulty swallowing, pain when swallowing, regurgitation of food, or a sensation of food getting stuck.
Classically, cardiac chest pain is in the left chest. However, it may occur in the center or right chest. Non-cardiac chest pain may have many of the above symptoms. However, non-cardiac chest pain may change with respiration, cough, or position.
Chest pain due to anxiety or panic attacks can usually feel like a sharp, stabbing sensation that starts suddenly, even if a person is inactive. However, they may be feeling stressed or anxious already before the chest pain begins. Common accompanying symptoms of an anxiety or panic attack include: dizziness.
Although chest pain is common to both a panic attack and a heart attack, the characteristics of the pain often differ. During a panic attack, chest pain is usually sharp or stabbing and localized in the middle of the chest. Chest pain from a heart attack may resemble pressure or a squeezing sensation.
The difference is that, when extra heartbeats in the upper and lower chambers are the cause of abnormal rhythm, symptoms may feel like an initial skip or hard thumping beat followed by a racing heart. When anxiety is the trigger, heart rate typically increases steadily rather than suddenly.
The pain of a heart attack differs from that of a strained chest muscle. A heart attack may cause a dull pain or an uncomfortable feeling of pressure in the chest. Usually, the pain begins in the center of the chest, and it may radiate outward to one or both arms, the back, neck, jaw, or stomach.
Chest pain or discomfort.
Most heart attacks involve discomfort in the center or left side of the chest that lasts for more than a few minutes or that goes away and comes back. The discomfort can feel like uncomfortable pressure, squeezing, fullness, or pain.
Heart attack symptoms vary widely
Some people experience no symptoms at all. Others experience crushing chest pain. Others may feel only arm, throat or jaw discomfort. But the discomfort is usually unrelenting, typically lasting five minutes or more.
Bruised chest muscles — from excessive coughing, straining or minor injury can cause harmless chest pain. One type of chest wall pain is costochondritis. Costochondritis causes pain and tenderness in and around the cartilage that connects your ribs to your breastbone (sternum).
Heart attack pain may start with chest pressure that comes and goes, sometimes with exertion. If the pain becomes continuous, seek medical attention immediately and consider calling 911. If you have chest pain constantly for several days, weeks or months, it is unlikely to be caused by a heart attack.
If you have chest pain that comes and goes, you should be sure to see your doctor. It's important that they evaluate and properly diagnose your condition so that you can receive treatment. Remember that chest pain can also be a sign of a more serious condition like a heart attack.
Immediate tests
Some of the first tests a health care provider may order when evaluating chest pain include: Electrocardiogram (ECG or EKG). This quick test measures the electrical activity of the heart. Sticky patches (electrodes) are placed on the chest and sometimes the arms and legs.
Nurses and doctors are likely ordering an EKG or electrocardiogram for you, which will help us determine if you have an acute heart problem. You will also have blood work done, and if needed, you will be administered pain medicine. Sometimes, patients are also put on oxygen.
Chest pain may arise and subside every few minutes or over several days. The cause may be related to the heart, the muscles, the digestive system, or psychological factors. Underlying causes of chest pain may be mild, as in the case of acid reflux. Or, they may be serious and indicate, for example, a heart attack.
A coronary angiogram is a type of X-ray used to examine the coronary arteries supplying blood to your heart muscle. It's considered to be the best method of diagnosing coronary artery disease - conditions that affect the arteries surrounding the heart.
Sitting up and leaning forward tends to ease the pain, while lying down and breathing deep worsens it. Some people describe the pain as a dull ache or pressure in their chest. The chest pain may feel like a heart attack. If you experience chest pain, call 911 right away because you may be having a heart attack.
Angina pain is often described as squeezing, pressure, heaviness, tightness or pain in the chest. It may feel like a heavy weight lying on the chest. Angina may be a new pain that needs to be checked by a health care provider, or recurring pain that goes away with treatment.