Doctors Note Logo

Back

Published on: 5/21/2025

How Can I Differentiate between Anxiety Chest Pain and Other Types of Chest Pain?

Anxiety chest pain is usually tied to feelings of panic, rapid heartbeat, and hyperventilation, unlike other types of chest pain that often come with physical triggers like exercise, illness or injury.

answer background

Explanation

When trying to tell if your chest pain is from anxiety or from another cause, notice what happens with the pain and what else you feel at the same time. Anxiety chest pain usually happens during periods of intense worry or panic. You might also experience a fast heartbeat, shortness of breath, or a feeling that something very bad is about to happen. This kind of pain often comes on suddenly and may ease as your anxiety subsides. On the other hand, chest pain from other causes—like heart problems or muscle strain—can be triggered by physical activities such as climbing stairs or heavy lifting, and the pain may last longer or get worse with exertion. Chest pain from illnesses are usually associated with other symptoms such as cough and fever. Doctors can use tests like an electrocardiogram (EKG) and blood tests to check your heart. Sometimes, when all heart tests are normal but you feel chest pain along with anxiety symptoms, it might be due to anxiety. It’s important to talk with your doctor about your symptoms, so together you can decide if further testing is needed or if strategies to manage anxiety could help relieve the chest pain.

(References)

  • de Heer EW, Palacios JE, Adèr HJ, van Marwijk HWJ, Tylee A, van der Feltz-Cornelis CM. Chest pain, depression and anxiety in coronary heart disease: Consequence or cause? A prospective clinical study in primary care. J Psychosom Res. 2020 Feb;129:109891. doi: 10.1016/j.jpsychores.2019.109891. Epub 2019 Dec 10. PMID: 31865173.

  • Khairandish Z, Jamali L, Haghbin S. Role of anxiety and depression in adolescents with chest pain referred to a cardiology clinic. Cardiol Young. 2017 Jan;27(1):125-130. doi: 10.1017/S1047951116000238. Epub 2016 Mar 16. PMID: 26979465.

  • Potokar JP, Nutt DJ. Chest pain: panic attack or heart attack? Int J Clin Pract. 2000 Mar;54(2):110-4. PMID: 10824366.

Tell your friends about us.

We would love to help them too.

smily Shiba-inu looking

For First Time Users

What is Ubie’s Doctor’s Note?

We provide a database of explanations from real doctors on a range of medical topics. Get started by exploring our library of questions and topics you want to learn more about.

Learn more about symptoms

Chest pain

Not sure about the cause of your current symptoms?

AI Symptom Check

Try our AI-based symptom checker

With an easy 3-min questionnaire, you can get a free AI-powered report on possible causes


Tips to try:

  • Provide specific, detailed info about all symptoms you have.
  • Give accurate information about yourself including current conditions.
  • Answer all follow-up questions

Purpose and positioning of servicesUbie Doctor’s Note is a service for informational purposes. The provision of information by physicians, medical professionals, etc. is not a medical treatment. If medical treatment is required, please consult your doctor or medical institution. We strive to provide reliable and accurate information, but we do not guarantee the completeness of the content. If you find any errors in the information, please contact us.