Here’s how to tell if your chest aches spell heart trouble.
You feel a lingering, dull, and burning sensation in your chest. You suspect it’s heartburn, but a small part of you can’t help but wonder: Could I be having a heart attack?
There are many non-heart related causes of chest discomfort—from pneumonia to panic attacks to indigestion. So how can if your tell if your chest pain is a sign of a heart attack? “I’ve often been asked about how you can differentiate heart attack pain from non-heart attack pain—it’s very difficult,” says cardiologist Nieca Goldberg, MD, medical director at NYU Langone Health in New York.
Chest Pain Symptoms: More Likely to Be a Heart Attack
Chest pain from a heart attack can feel like tightness, pressure, or squeezing. Heart attack chest pain may also gradually get worse over the course of a few minutes, and could be felt over a widespread area of the chest. “Sometimes people explain it as a tiredness in the chest, some people say it’s sharp,” says Dr. Goldberg. There are more heart attack clues to look out for besides chest pain, too. You may also feel sudden nausea, shortness of breath, cold sweats or pain that extends to the left arm, neck, jaw, or back.
Chest Pain Symptoms: Less Likely to Be a Heart Attack
If you feel a sudden, sharp stabbing pain that lasts a few seconds or is brought on by coughing or breathing, it could be a sign of pericarditis (which is a heart condition, but not a heart attack) or it could be due to a respiratory condition, like asthma or pneumonia. If you feel a burning sensation in your chest, it could also be due to heartburn or indigestion. Other signs that your pain is less likely to be a heart attack are: pain that’s localized to a small spot, pain that lasts for hours or days without other symptoms, or pain that can be reproduced with certain movements.
But here’s the most important takeaway: “We cannot always make [a heart attack] diagnosis [only] by the quality of the chest pain,” says Dr. Goldberg. In other words, you can’t assume your heart is safe because your pain is presenting in a certain way. Many people experience heart attacks without that telltale crushing chest pain. When in doubt, call your doctor or 911.
You doctor will ask you specific questions to be able to understand the source of the chest pain. “The person who is not feeling well or having chest pain [needs to] be able to tell the doctor when it comes on, what provokes the symptoms, and if [they] do anything that makes it go away,” says Dr. Goldberg.
Whatever you’re feeling, if you even slightly suspect a heart attack, don’t take a chance. “My biggest advice to people, is when you have any of these symptoms, don’t delay having them evaluated,” says Dr. Goldberg. “Instead of waiting for your heart attack to wake you up from your sleep, you should go to the doctor when you begin to have these symptoms.”
Dr. Goldberg is a cardiologist and medical director of the NYU Langone Health Joan H. Tisch Center for Women’s Health.
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You know, I've often asked
about how you can differentiate
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a heart attack pain from
non-heart attack pain.
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It's very difficult.
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Typically, chest pain due to a heart
attack is really tightness or
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pressure or squeezing.
00:00:26,260 --> 00:00:31,250
But sometimes people explain it
as a tiredness in the chest.
00:00:31,250 --> 00:00:33,330
Some people say it's sharp.
00:00:33,330 --> 00:00:37,390
We cannot always make the diagnosis
by the quality of the chest pain.
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What's most important is the person
who is not feeling well or
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having chest pain be able to tell
the doctor when it comes on,
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what provokes the symptoms, and
if you do anything that makes it go away?
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An example, we get chest tightness
when walking a half block.
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You rest for a few minutes,
and the symptoms go away.
00:00:59,540 --> 00:01:05,230
My biggest piece of advice to people
is when you have any of these symptoms,
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don't delay having them evaluated.
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If you have been noticing your
exercise endurance has been decreasing
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over a period of a few weeks,
instead of waiting for
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your heart attack to wake
you up from your sleep,
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you should go to the doctor when
you begin to have these symptoms.
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With early testing, we could find out
if you have a clogged artery or not and
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open it up, preventing the heart attack.
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Symptoms and Diagnosis of Pericarditis. American Heart Association. (Accessed on February 7, 2018 at http://www.heart.org/HEARTORG/Conditions/More/Symptoms-and-Diagnosis-of-Pericarditis_UCM_444932_Article.jsp#.WnscKZM-c5g)
Chest pain: A heart attack or something else? Harvard Medical School. (Accessed on February 10, 2021 at https://www.health.harvard.edu/heart-health/chest-pain-a-heart-attack-or-something-else)