Chest Pain: Is it a Heart Attack or Heartburn? - Virtua Article

Chest Pain: Is it a Heart Attack or Heartburn?

By Thomas Galski, DO, Cardiologist—Virtua Cardiology
Gregory Seltzer, MD, Gastroenterologist—Virtua Gastroenterology

Most people experience minor chest pain now and then. When it happens, you might downplay it or wonder if it’s something serious. 

Since gastroesophageal reflux disease (GERD) and heart attacks have similar symptoms, it’s understandable why feeling chest pain might make you pause before calling 911. 

But while some symptoms might feel similar, the outcomes are VERY different. Delaying treatment of a heart attack can cost you your life. On the other hand, no one wants to go to the ER if heartburn could be cleared up with an antacid. Here’s what you need to know to assess your symptoms. 

How similar are the symptoms of heartburn and a heart attack?

GERD (also known as heartburn), angina (chest pain that may be due to artery disease) and heart attack may feel very much alike. Chest discomfort described as pain, pressure or burning can be common to all of these disorders along with symptoms like nausea, indigestion or upper abdominal pain. 

Even experienced doctors can't always tell the difference from a patient’s medical history and a physical exam. That's why if you go to the ER because of chest pain, you'll immediately have tests to rule out a heart attack.

What should you do if you have chest pain, and you're not sure what's causing it?

  • If you have persistent chest pain and you’re not sure it's heartburn, call 911. 
  • If you had an episode of unexplained chest pain that went away within a few hours and you didn’t seek medical attention, call your doctor. 

Both heartburn and a developing heart attack can cause symptoms that subside after a while. The pain doesn't have to last a long time to be a warning sign. 

Heart attack symptoms can also include:

  • Sweating
  • Shortness of breath
  • Nausea or vomiting
  • Pain that spreads from the chest to the neck, jaw or one or both shoulders or arms
  • Dizziness or lightheadedness, associated with fast or irregular pulse

In someone over age 40 who doesn't have a history of heartburn, all chest pain should be treated as cardiac chest pain until proven otherwise. Call 911 or go to the closest ER. 

If you have a history of GERD and your symptoms are consistent with GERD, it’s reasonable to try an antacid. Generally speaking, if someone has chest discomfort that’s relieved by burping, this would indicate heartburn or something gastrointestinal-related.

What should you do if pains come and go?

Call your doctor if you experience the following:

  • You have chest pain that started within the past two months and is getting more severe.
  • You have chest pain that happens several times per day.
  • You have chest pain that suddenly becomes more frequent or lasts longer with exertion.
  • You have chest pain that occurs at rest or that awakens you from sleep.

DO NOT ignore chest pain. It may sound cliché, but it’s better safe than sorry. 

Call 911 and get to an ER. Acting fast can save your life.

Updated January 4, 2017

navigator access center

Contact Virtua

A Personal Health Navigator can help you find a doctor, schedule appointments or classes, and help you find a service or location.

1-888-VIRTUA-31-888-VIRTUA-3 Live Chat

You May Also Like

Why Every Baby Boomer Should Get Tested for Hepatitis C - Virtua Article

Why Every Baby Boomer Should Get Tested for Hepatitis C

Did you know baby boomers (ages are 53 to 73) are five times more likely to have hepatitis C than other adults? Read why you might want to get tested.

Read More
How Does Alcohol Affect Irritable Bowel Syndrome? - Virtua Article

How Does Alcohol Affect Irritable Bowel Syndrome?

If you suffer from irritable bowel syndrome (IBS), you need to understand how your body reacts to alcohol so you can manage whether or not you can drink it.

Read More
6 Signs of a Silent Heart Attack

6 Signs of a Silent Heart Attack

Not every heart attack is accompanied by crippling chest pain. Learning the signs of a silent heart attack could help save a life.

Read More
Showing 3 of 13