How to Tell If Your Panic Attack is Actually a Heart Attack: Understanding the differences between a panic attack and a heart attack can be life-saving. Learn the key symptoms to look out for.

Understanding the Difference Between Panic Attacks and Heart Attacks

Distinguishing between a panic attack and a heart attack can be incredibly difficult, as the symptoms often overlap. Both can cause chest pain, shortness of breath, and a racing heart. However, there are crucial differences to be aware of. This article aims to provide you with the knowledge needed to better understand these conditions and when to seek immediate medical attention.

Recognising Heart Attack Symptoms

A heart attack occurs when the blood flow to a part of the heart is blocked, usually by a blood clot. The classic symptom is chest pain, which is often described as:

• A crushing or squeezing sensation
• A heavy pressure or tightness in the chest
• Pain that radiates to the left arm, shoulder, neck, jaw, or back

Other common symptoms include:

• Shortness of breath
• Sweating, often cold and clammy
• Nausea or vomiting
• Lightheadedness or dizziness
• A sense of impending doom

It’s important to remember that not everyone experiences all of these symptoms, and the intensity can vary. Women, in particular, may experience more atypical symptoms such as back pain, jaw pain, and fatigue.

Identifying Panic Attack Symptoms

Panic attacks, on the other hand, are sudden episodes of intense fear or discomfort that peak within minutes. Symptoms can include:

• A racing heart or palpitations
• Shortness of breath or feeling like you’re suffocating
• Chest pain or discomfort
• Sweating
• Trembling or shaking
• Feeling dizzy or lightheaded
• Nausea or abdominal distress
• Feeling detached from reality (derealisation) or yourself (depersonalisation)
• Fear of losing control or going crazy
• Fear of dying
• Numbness or tingling sensations

While many of these symptoms overlap with heart attack symptoms, panic attacks are typically triggered by stress, anxiety, or specific situations.

Key Differences to Look For

While both conditions share similar symptoms, there are some key distinctions:

• Onset: Heart attack symptoms tend to come on gradually and increase in intensity over time. Panic attacks, conversely, usually have a sudden and rapid onset.
• Duration: Panic attacks typically last for a shorter duration, peaking within 10 minutes and usually subsiding within 30 minutes. Heart attack symptoms can persist for longer periods.
• Trigger: Panic attacks are often triggered by identifiable stressors or anxiety-provoking situations. Heart attacks are usually not associated with a specific trigger.
• Pain Characteristics: Heart attack pain is often described as crushing or squeezing, while panic attack chest pain may be more of a sharp, stabbing sensation or a general discomfort.
• Radiating Pain: Heart attack pain frequently radiates to the left arm, shoulder, neck, jaw, or back. Panic attack pain is less likely to radiate in this manner.
• Perspiration: The sweating associated with a heart attack is often cold and clammy. Panic attack sweating may be more related to anxiety and nervousness.
• Pre-existing Conditions: If you have known heart conditions, high blood pressure, high cholesterol, or diabetes, the likelihood of your symptoms being related to a heart attack increases.

When to Seek Immediate Medical Attention

If you are experiencing chest pain or any other concerning symptoms, it is always best to err on the side of caution and seek immediate medical attention. Call 999 in the UK for an ambulance or go to the nearest accident and emergency (A&E) department. Don’t hesitate or worry about wasting anyone’s time. It’s far better to be safe than sorry when it comes to your heart.

Managing Panic Attacks

If you have a history of panic attacks and are confident that your symptoms are related to anxiety, there are things you can do to manage the attack:

• Practice deep breathing exercises: Focus on slow, deep breaths to calm your nervous system.
• Grounding techniques: Use your senses to connect with the present moment, such as focusing on five things you can see, four things you can touch, three things you can hear, two things you can smell, and one thing you can taste.
• Relaxation techniques: Engage in activities that help you relax, such as listening to calming music or taking a warm bath.
• Talk to someone: Sharing your feelings with a friend, family member, or therapist can provide support and reassurance.

Long-Term Management

If you experience frequent panic attacks, it’s important to seek professional help. Cognitive behavioural therapy (CBT) and medication can be effective treatments for panic disorder. Lifestyle changes, such as regular exercise, a healthy diet, and sufficient sleep, can also help manage anxiety levels.

FAQ:

Q: What is the main difference between heart attack and panic attack pain?

A: Heart attack pain is often described as crushing or squeezing, while panic attack pain is more likely sharp, stabbing, or a general discomfort.

Q: Should I go to the hospital if I’m not sure if it’s a panic attack or a heart attack?

A: Yes, always err on the side of caution and seek immediate medical attention if you are experiencing chest pain or other concerning symptoms.

Q: Can panic attacks cause permanent heart damage?

A: No, panic attacks do not cause permanent heart damage. However, they can be very distressing and should be addressed with proper treatment.

external_links:

• https://www.nhs.uk/conditions/panic-disorder/ – NHS information about panic disorder.
• https://www.bhf.org.uk/heart-health/conditions/heart-attack – British Heart Foundation information about heart attacks.