Published on: 5/21/2025
Chest pain caused by anxiety usually lasts only during an anxiety or panic episode—often from a few minutes up to around an hour—before gradually easing as the episode resolves.
When anxiety causes chest pain, it typically coincides with an anxiety or panic attack. During these episodes, people may feel heart pounding, tightness in the chest, and overall discomfort. This specific type of chest pain usually lasts for just a short while, often ranging from several minutes to about an hour. Once the anxiety begins to calm down, the chest pain tends to lessen as well. However, sometimes the pain might seem more prolonged because you are very focused on your body’s sensations—a kind of hypervigilance that can make an episode feel longer than it is. It is important to know that if your anxiety-related chest pain lasts significantly longer or comes with other worrying symptoms (like difficulty breathing, dizziness, or severe discomfort), you should call 911 and go to the emergency room. They can help determine if the pain is purely anxiety-related or if there is another underlying cause that needs attention. Managing anxiety through relaxation techniques, therapy, or medication may also help reduce the frequency and duration of these episodes.
(References)
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Schwarz J, Prashad A, Winchester DE. Prevalence and implications of severe anxiety in a prospective cohort of acute chest pain patients. Crit Pathw Cardiol. 2015 Mar;14(1):44-7. doi: 10.1097/HPC.0000000000000038. PMID: 25679088; PMCID: PMC4331450.
Huffman JC, Pollack MH, Stern TA. Panic Disorder and Chest Pain: Mechanisms, Morbidity, and Management. Prim Care Companion J Clin Psychiatry. 2002 Apr;4(2):54-62. doi: 10.4088/pcc.v04n0203. PMID: 15014745; PMCID: PMC181226.
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