Overview
Panic attacks and heart attacks can both cause chest pain, shortness of breath, and a sense of doom. While panic attacks are not life-threatening and stem from anxiety, heart attacks involve blocked blood flow to the heart and require emergency care. Medical evaluation is crucial to distinguish them.
Disease Summaries
Panic Attack: This refers to a sudden, intense episode of overwhelming fear and anxiety that triggers severe physical reactions when there is no real danger present. Symptoms typically peak within minutes and can include rapid heartbeat, sweating, trembling, and a sense of impending doom. While the exact cause isn't always clear, panic attacks can be triggered by chronic stress, traumatic experiences, or genetic factors, and they often occur unexpectedly without warning.
Heart Attack: A condition in which the heart is unable to pump sufficient blood to meet the body's oxygen demands. The causes of heart failure can include genetic predispositions as well as lifestyle factors such as smoking, obesity, and other health conditions.
Comparing Symptoms
Overlapping Symptoms
- Chest pain/pressure
- Shortness of breath
- Sweating
- Dizziness
- Nausea
Panic Attack Specific Symptoms
- Sudden fear/anxiety
- Tingling sensations
- Symptoms peak in minutes
- Feeling of unreality
- Feeling of doom
Heart Attack Specific Symptoms
- Pain radiating to arm/jaw
- Symptoms during exertion
- Progressive worsening
- Cold sweats
- Pain unrelated to stress
Treatment Approaches
Panic Attack Treatment Approaches
Treatment includes a combination of psychotherapy (particularly cognitive behavioral therapy), medication such as anti-anxiety drugs or antidepressants, and stress management techniques. Breathing exercises and mindfulness practices can help manage acute attacks and prevent future ones. Lifestyle modifications like regular exercise, adequate sleep, and avoiding caffeine and alcohol can help reduce the frequency of attacks.
Heart Attack Treatment Approaches
Initial treatment focuses on immediate medical intervention with aspirin and medications to dissolve blood clots, along with oxygen therapy. Long-term management includes medications such as blood thinners, beta-blockers, and statins to prevent future attacks and manage heart function. Lifestyle modifications are essential, including regular exercise, a heart-healthy diet, smoking cessation, and stress management.
Reviewed By:

Kenji Taylor, MD, MSc (Family Medicine, Primary Care)
Dr. Taylor is a Japanese-African American physician who grew up and was educated in the United States but spent a considerable amount of time in Japan as a college student, working professional and now father of three. After graduating from Brown, he worked in finance first before attending medical school at Penn. He then completed a fellowship with the Centers for Disease Control before going on to specialize in Family and Community Medicine at the University of California, San Francisco (UCSF) where he was also a chief resident. After a faculty position at Stanford, he moved with his family to Japan where he continues to see families on a military base outside of Tokyo, teach Japanese residents and serve remotely as a medical director for Roots Community Health Center. He also enjoys editing and writing podcast summaries for Hippo Education.

Yoshinori Abe, MD (Internal Medicine)
Dr. Abe graduated from The University of Tokyo School of Medicine in 2015. He completed his residency at the Tokyo Metropolitan Health and Longevity Medical Center. He co-founded Ubie, Inc. in May 2017, where he currently serves as CEO & product owner at Ubie. Since December 2019, he has been a member of the Special Committee for Activation of Research in Emergency AI of the Japanese Association for Acute Medicine. | | Dr. Abe has been elected in the 2020 Forbes 30 Under 30 Asia Healthcare & Science category.
Content updated on Mar 27, 2024
Following the Medical Content Editorial Policy
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Link to full study:
https://www.medrxiv.org/content/10.1101/2024.08.29.24312810v1References
Cackovic C, Nazir S, Marwaha R. Panic Disorder. [Updated 2023 Aug 6]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-.
https://www.ncbi.nlm.nih.gov/books/NBK430973/American Psychological Association - Panic Attack
https://dictionary.apa.org/panic-attackArrigo M, Jessup M, Mullens W, Reza N, Shah AM, Sliwa K, Mebazaa A. Acute heart failure. Nat Rev Dis Primers. 2020 Mar 5;6(1):16. doi: 10.1038/s41572-020-0151-7. PMID: 32139695; PMCID: PMC7714436.
https://www.nature.com/articles/s41572-020-0151-7