Panic Attacks vs. Heart Attacks: Understanding the Differences

Can a panic attack feel like a heart attack? Oftentimes, yes. Panic attacks are alarming because the symptoms can mirror a life-threatening heart attack.

“It can be a frightening situation because both conditions can bring chest pain, rapid heartbeat and shortness of breath, and you can’t be sure what is happening,” said Andrew Mathias, MD, of UR Medicine Cardiac Care.

That’s why it’s important to understand the differences between the two and when to seek appropriate medical care.

What does a panic attack feel like?

What does a heart attack feel like?

A heart attack, also known as a myocardial infarction, occurs when blood flow to a part of the heart muscle is blocked, usually by a blood clot. This blockage prevents oxygen to the heart, Symptoms of a heart attack can vary, but common signs include:

• Chest pain or pressure
• Pain or discomfort in the arms, back, neck, jaw, or stomach
• Shortness of breath
• Cold sweats
• Nausea
• Light-headedness or dizziness

Heart attacks are medical emergencies and require immediate treatment. Dial 9-1-1.

How to tell the difference

There are key differences between a panic attack and heart attack:

• Onset: Panic attacks often occur suddenly and peak within minutes, while heart attack symptoms may develop more gradually and persist over time.

• Duration: Panic attack symptoms typically subside within a short period, whereas heart attack symptoms continue and worsen over time.
  
  

“If you are an anxious person or you’ve had a panic attack before, sit down and take some deep breaths or do some calming exercises. If the symptoms ease, it may be more likely to be a panic attack,” Mathias said. “But if it continues, worsens, or quickly recurs, it’s best to get care immediately.”