The difference between a panic attack and a heart attack

One of the most concerning aspects of panic attacks is that their symptoms can closely resemble those of a heart attack. To learn more about panic attacks, also see the article What is a Panic Attack?.

Common Symptoms

Both can include palpitations, shortness of breath, sweating, and chest pain — this similarity makes it difficult for individuals to easily distinguish between the two in the moment.

Some Relative (Not Definitive) Differences

• Panic attacks usually peak and subside within a few minutes
• Chest pain during a heart attack may radiate to the arm or jaw
• Panic attacks are often accompanied by intense fear of losing control

Golden Rule: When in Doubt, Err on the Side of Caution

These differences are not definitive and should not be the basis for self-treatment or delay. If you are unsure about the origin of your symptoms, you should always seek emergency assistance immediately or call 115 — a definitive diagnosis can only be made through medical evaluation.

Summary for Patients

Panic attacks and heart attacks have similar symptoms, but they also have important differences — in any case, uncertainty in diagnosis should always lead to caution and immediate consultation.

Sources

• American Heart Association — Heart Attack Symptoms vs Panic Attack
• National Institute of Mental Health (NIMH) — پیش‌زمینه‌های حمله پانیک
• American Psychiatric Association — Distinguishing Panic from Cardiac Events