Chest pain, shortness of breath, and a racing heart can be terrifying. In that moment, many people ask the same question:
“Am I having a panic attack or a heart attack?”
It is a very common concern and an important one. Panic attacks and heart attacks can feel similar, but they are not the same. Knowing the difference can help you stay calm, make the right decision, and get care when you need it.
This guide explains the key differences in simple terms.
What Is a Panic Attack?
A panic attack is a sudden surge of intense fear or anxiety. It can happen even when there is no real danger. The body goes into “fight or flight” mode, which causes strong physical symptoms.
Panic attacks are not life-threatening, but they can feel overwhelming and very real.
Common Panic Attack Symptoms
- Chest tightness or discomfort
- Rapid heartbeat
- Shortness of breath
- Sweating or chills
- Dizziness or lightheadedness
- Nausea
- Tingling in hands or feet
- Feeling out of control or fear of dying
Panic attack symptoms often come on suddenly and peak within minutes. Many people feel exhausted afterward.
What Is a Heart Attack?
A heart attack happens when blood flow to the heart is blocked. This prevents the heart muscle from getting oxygen and can cause serious damage if not treated quickly.
A heart attack is a medical emergency.
Common Heart Attack Symptoms
- Chest pain, pressure, or heaviness
- Pain spreading to the arm, shoulder, neck, jaw, or back
- Shortness of breath
- Nausea or vomiting
- Cold sweats
- Dizziness or fainting
- Unusual fatigue
Heart attack symptoms may build gradually or appear suddenly. They often do not go away on their own.
Key Differences Between a Panic Attack and a Heart Attack
While symptoms can overlap, there are some important differences to watch for.
Chest Pain
- Panic attack: Chest tightness or sharp pain that may come and go
- Heart attack: Pressure, squeezing, or heavy pain that lasts longer
Breathing
- Panic attack: Fast breathing or feeling unable to catch your breath
- Heart attack: Shortness of breath even while resting
Pain Location
- Panic attack: Usually centered in the chest
- Heart attack: Pain may spread to arm, jaw, neck, or back
Duration
- Panic attack: Peaks within minutes and often improves
- Heart attack: Continues or worsens over time
Triggers
- Panic attack: Often linked to stress, anxiety, or fear
- Heart attack: Can happen without warning, even at rest
Why It Can Be Hard to Tell the Difference
Panic attacks can cause very real physical symptoms that feel identical to heart problems. At the same time, heart attacks do not always look dramatic, especially in women and older adults.
This is why guessing can be risky.
If you are unsure, it is always safer to get medical care.
When You Should Go to the Emergency Room
You should seek emergency care right away if you experience:
- Chest pain that is new, severe, or worsening
- Pain spreading to your arm, jaw, or back
- Trouble breathing
- Fainting or extreme dizziness
- Nausea with chest discomfort
- Symptoms that feel different from past panic attacks
It is better to be told “everything is okay” than to ignore a serious condition.
What to Do If You Are Unsure
If you have a history of panic attacks but symptoms feel stronger, longer, or different than usual, do not assume it is anxiety.
Emergency medical teams can quickly evaluate your symptoms, check your heart, and give you answers.
At Fountain Hills Emergency Room and Medical Center, patients are evaluated promptly to determine whether symptoms are related to anxiety, heart issues, or another medical condition. Getting checked can bring peace of mind and protect your health.
A Final Word
Panic attacks are frightening, but heart attacks are dangerous. Because the symptoms can look alike, the safest choice is not to self-diagnose.
Listen to your body. Trust your instincts. And when something feels wrong, emergency care is the right step.
Getting help quickly can save lives and reduce anxiety at the same time.