Can anxiety cause pain in heart
Are They Linked?: Woodlands Heart and Vascular Institute: Cardiologists
Anxiety and Chest Pain: Are They Linked?: Woodlands Heart and Vascular Institute: CardiologistsChest pain is a frightening experience that sends many people to the emergency room. Nearly half of them learn they don’t have a heart problem. Of those, 30-40% discover that anxiety was the culprit.
In short, anxiety and chest pain share a close relationship, but that doesn’t mean you can assume anxiety is to blame. You can’t risk delaying medical attention when there’s a chance you have a heart condition or you’re having a heart attack.
If you suspect you’re having a heart attack, call 911. Otherwise, Laura Fernandes, MD, FACC, at Woodlands Heart and Vascular Institute can run diagnostics in the office to rapidly determine if you have cardiovascular disease.
Learn how anxiety causes chest pain and if it’s possible to tell the difference between anxiety and heart-related symptoms.
Anxiety defined
Anxiety is your body’s natural reaction to a threat, whether the threat is immediate or in the future. Any time you feel anxious, your brain automatically sends out hormones that activate the fight-or-flight response.
Whether you’re stuck in traffic, worried about a job interview, or face a threatening situation, your brain’s natural reaction energizes your body so you can deal with the threat or quickly react and escape the situation.
How anxiety causes chest pain
When you’re anxious, your brain sends a surge of adrenaline and cortisol through your body. These hormones immediately trigger a rapid rise in your heart rate and blood pressure. As a result, many people experience chest pain and sweating, or have a hard time breathing.
The sudden boost of adrenaline can narrow the arteries in your heart and attach to cells inside the heart. This condition, called stress cardiomyopathy, mimics a heart attack, from symptoms all the way down to changes in your heart’s electrical activity.
Though stress cardiomyopathy usually heals within a few days or weeks, it may lead to weak heart muscles, congestive heart failure, and abnormal heart rhythms.
Levels of adrenaline and cortisol don’t return to normal in people with anxiety disorders such as generalized anxiety disorder, panic disorder, and post-traumatic stress disorder. Chronically high hormone levels may trigger a panic attack (causing symptoms that feel like a heart attack) and increase your risk of cardiovascular disease.
Symptoms of anxiety vs. cardiac chest pain
It’s hard, if not impossible, to tell the difference between anxiety-induced chest pain and the pain caused by an underlying heart condition. In addition to your chest pain, both can cause:
- Dizziness
- Shortness of breath
- Sweating
- Heart palpitations
- Feeling of dread or being out of control
Everyone experiences slightly different symptoms, whether they have anxiety or a heart problem.
For this reason, the following two qualities aren’t written in stone. However, they’re generally true and may help you determine the cause of your chest pain:
Pain location
Chest pain from a heart attack often spreads throughout your chest and radiates to your jaw, shoulders, and arms. By comparison, chest pain from anxiety stays in your chest.
Pain patterns
Chest pain from a heart attack starts slowly and gradually gets worse, while an anxiety attack causes sudden chest pain that slowly improves. Many people find that anxiety-related chest pain goes away in about 10 minutes. However, other anxiety-related symptoms can last up to an hour after the pain improves.
If you have any questions about chest pain or other heart-related symptoms, call our office in The Woodlands, Texas,or schedule an appointment online today.
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Chest pain and anxiety: Symptoms, causes, and treatment
Chest pain is a common symptom of anxiety and panic attacks. Many people say it is the notable feature of their worst episodes.
It can also worsen anxiety if a person becomes afraid they are having a heart attack.
About 25% of people will experience chest pain during their lifetime. There are different causes of chest pain, including a panic attack and an anxiety attack.
Approximately 27.3% of people in the United States experience a panic attack at some point in their lives. Annually, the prevalence of panic attacks is about 11%.
In addition, 2–3% of people in the U.S. develop a panic disorder each year. Panic disorder, which sometimes causes panic attacks, tends to affect women twice as often as men.
Both panic attacks and anxiety attacks can cause chest pain. These attacks are similar, although an anxiety attack can be less intense.
Anxiety attacks usually relate to a specific trigger in someone’s life, whereas a panic attack can happen without an obvious trigger.
In both cases, the symptoms occur due to stress hormones that trigger a person’s fight-or-flight response. This also causes other symptoms, such as difficulty breathing.
People who have frequent anxiety or panic attacks may have an anxiety disorder. There are different types of anxiety disorders, such as generalized anxiety disorder and panic disorder.
To diagnose these conditions, a doctor needs to check that a person’s symptoms match those outlined in Diagnostic and Statistical Manual of Mental Disorders, 5th edition.
Researchers do not know exactly what causes anxiety disorders, but it is likely a combination of biological, genetic, and environmental factors.
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
- faintness
- shortness of breath
- trembling
- changes in body temperature
- feeling out of control of the situation
- numbness and sweating in the feet and hands
- chest pain
- heart palpitations
Chest pain is more common in attacks that come on quickly.
According to research from 2019, the prevalence of chest pain among people having a panic attack is about 28.5%.
Although heart attack occurs in 805,000 people in the U.S. every year, only 2–4% of individuals with chest pain who come in to see a doctor receive a heart problem diagnosis.
Nevertheless, having chest pain can be alarming, as it is still likely it could be due to a heart attack.
It is important to know that while there are similarities between anxiety chest pain and pain due to a heart attack, there are also some significant differences.
A heart attack has a different cause. It occurs due to a blockage in a person’s coronary artery. Also, chest pain from an anxiety or panic attack most often develops when an individual is at rest. By contrast, heart attack pain most often develops when a person is active.
Pain from a heart attack also frequently travels from the chest to other parts of the body, such as the jaw, shoulders, and arms. In contrast, chest pain stemming from anxiety remains in the chest.
Furthermore, anxiety chest pain may feel sharper than the pain caused by a heart attack, which people often describe as a squeezing, heavy pressure.
There is also a difference in whom panic attacks and heart attacks affect. While panic disorders are more common in women, heart attacks are more common in men.
Learn how to tell the difference between a panic attack and a heart attack here.
When to contact a doctor
It can be hard to know whether one is having a panic attack or a heart attack. Therefore, a person should seek immediate medical care if they or someone else is experiencing sudden and severe chest pain, particularly in the center or left parts of their chest.
Other warning signs of a heart attack include pressure in the chest lasting more than 2–3 minutes or pain that radiates to the arm or the jaw. A person may also feel short of breath.
Both panic disorders and cardiovascular problems are treatable conditions, so receiving a diagnosis from a doctor will help ensure that individuals receive the appropriate treatment.
Professional help can make a significant difference in the lives of individuals who experience panic attacks and anxiety. Without treatment, these conditions can limit a person’s quality of life.
However, medications and cognitive behavioral therapy (CBT) have proven to be effective at treating panic disorders in many instances.
CBT teaches a person to restructure their thoughts and identify and avoid specific anxiety triggers. This type of therapy can help individuals reduce and manage the symptoms of panic disorder without using medication.
There are also steps a person can take at home to manage and reduce anxiety symptoms, including chest pain.
It is advisable to try the following practices to help cope with a panic attack:
- Find safe shelter: A person should find a secure and comfortable place if possible and consider pulling over if driving.
-
Take deep breaths: Steady, deep breathing can help reduce symptoms of anxiety and prevent them from getting worse.
- Remember it is temporary: While experiencing chest pain, focus on the fact that these symptoms should last no more than a few minutes.
- Try to stay positive: Focusing on peaceful or positive images may help people reduce the severity of their symptoms during a panic attack.
- Count: Counting to 10 or 20 and then repeating can help individuals focus during a panic attack.
- Rate the attack: Some people find that reviewing their general state of mind during a panic attack and giving it a score on a scale of 1 to 10, with 10 being the most severe and 1 being a barely noticeable sensation, can help them manage their anxiety.
Also, there are some lifestyle changes a person can make to reduce their risk of symptoms:
- exercising regularly
- getting enough sleep
- avoiding caffeine, alcohol, and smoking
- avoiding foods high in refined sugar
Learn more about treatments for an anxiety attack and how to stop a panic attack.
Chest pain can accompany both anxiety and panic attacks. People who get such attacks frequently may have an anxiety disorder.
These conditions are treatable. It is important to receive an evaluation from a doctor so that a person can get the most suitable treatment.
As a precaution, if someone is experiencing sudden chest pain, they should seek immediate medical treatment to rule out a heart attack.
Below, we answer some frequently asked questions about anxiety chest pain.
What causes anxiety chest pain on the left side?
Anxiety could cause chest pain on the left side. However, it can also be a sign of a heart attack or pericarditis, so a person should seek immediate medical attention.
What do I do if my anxiety chest pain is not going away?
In most cases, anxiety chest pain will develop quickly and then fade somewhat rapidly.
If a person’s chest pain is not going away or if it is increasing gradually, this may be a sign of a heart attack.
If this happens, they should get medical attention as soon as possible.
Heart alarm - For a healthy lifestyle! - Articles
Very often people complain of pain in the heart, but it turns out that the stomach hurts, suffers from osteochondrosis or stress has led to the development of depression. And the development of a heart attack is not recognized, they are attributed to the same stomach, osteochondrosis or even toothache. How to figure it out? Let's try to help.
angina pectoris. That was the name in the old days of the disease that we now call angina pectoris. A heart attack usually begins with a pressing or burning pain in the center of the chest (doctors say "behind the sternum") during exercise or stress, although it can develop at rest.
The pain is quite intense, can radiate to the lower jaw, shoulders and arms (more often to the left, but possibly both), to the neck, throat and back. Sometimes it disguises itself as bursting pains in the same areas or pains in the stomach (upper abdomen - epigastrium), simulating an intestinal disorder.
The pain disappears at rest in a few minutes, and if you put a nitroglycerin tablet under the tongue (or spray a spray containing nitroglycerin) - almost instantly.
If such pain lasts longer than 20-30 minutes and its intensity increases, the development of a heart attack is not excluded. Timely assistance significantly reduces the risk of dying from a heart attack, so you need to call an ambulance team as soon as possible. Recording an ECG in a heart attack almost always helps to make a diagnosis.
Heart attack cancelled. Very often, young women come to the doctor with complaints of pain in the heart. How could it be otherwise, because through the heart we pass all our troubles, worries and joys. In this case, there is usually no cause for alarm.
In young women, "heart pain" is often functional, meaning it is not caused by angina pectoris. Female sex hormones protect blood vessels from the formation of atherosclerotic plaques.
And if you look, “heart” pains bother women not in the area where “angina pectoris” likes to settle, but in the left half of the chest, in the armpit or under the left breast. They are, as a rule, in the nature of discomfort, stabbing or aching pain, and can last from half an hour to several hours or even days.
These feelings arise for various reasons. Stress, sleep deprivation, overwork, premenstrual periods…and, as a result, an anxiety or depressive disorder. The skeletal muscles are tense, on the shoulders they are compacted into painful lumps - “lumps of nerves”! Sometimes it is enough to have a short, but good rest, pleasant emotions.
In more serious cases, one has to seek help from a neurologist , a psychotherapist. Remember: the longer the depression lasts, the more difficult it is for the doctor to completely relieve you of discomfort, sleep disturbances and bad mood. However, in addition to stress, other reasons can lead to pain in the “heart area”.
"Bouquet of diseases".
Osteochondrosis, a disease of sedentary people, leads to pinching of the nerve roots and the development of pain. If the thoracic spine is involved, then it is the heart that falls under the patient's suspicion - it pricks and pierces, lies on the chest with a lump or stone, catches with inhalations and sharp turns of the body, and aches for hours.
If such sensations occur during strong excitement, then the full impression of a heart attack can be formed. But the true cause of the pain in this case is the tension of the muscles of the neck and back. Unlike an attack of angina, which is quickly relieved by nitroglycerin, pain medications, massage, kneading the back with hydromassage jets can help, shock wave therapy. During examination, changes in the vertebrae can be found on an x-ray of the spine. But the ECG, even at the time of the most intense neuralgic pain, will be normal.
Chest pain may occur during a cold if it is complicated by bronchitis. Coughing can add discomfort, since already on the second day of a hacking cough, in addition to the bronchi, pectoral muscles will add to the pain.
If the cold is complicated by pneumonia and pleurisy, then with a deep breath and exhalation, changes in pain can be noticed. The pain increases with inhalation, when the lungs straighten and “rub” against the inflamed pleura, and decreases with exhalation.
The doctor will recommend an X-ray of the lungs, listen with a phonendoscope for wheezing in the lungs.
Do not forget about the stomach, pancreas and gallbladder. A common cause of chest pain is intercostal neuralgia, herpes zoster, and in women - mastopathy. Regular palpations of the mammary glands must be carried out by women after 30-35 years, and if there is pain or induration, consult a doctor who will most likely refer you to an ultrasound of the mammary glands and mammography.
Gender matters, because it is in women that “heart pain” during examination turns out to be a mask of other diseases, and in men over 40 any “gastritis, osteochondrosis attack or sore tooth” may turn out to be a first-time developed heart attack.
A timely visit to the doctor is necessary if the heart is at risk.
On the other hand, all the pains in the chest should not be blamed on the poor heart either.
Let's try to figure it out, analyze our feelings and try to distinguish between an attack that can threaten health and functional pain.
- Stitching or aching pain in the left side of the chest, which does not give anywhere?
- The pain begins and goes away gradually, lasts a long time, for hours, and even days, if you are stressed?
- Physical activity does not cause or increase discomfort in the heart area, and sometimes even relieves it?
- The pain does not go away after taking nitroglycerin, but subsides with sedatives?
If you answered “yes” to most of the questions, you probably don't have to worry about your heart. If so, complete the Hospital Anxiety and Depression Scale (HADS) and the CES-D questionnaire. Perhaps the stresses in your life have led to the development of depression and the consultation of a psychotherapist will relieve your "heart anxiety".
Anxiety and pain in the heart
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