More than five million Americans check in to the emergency room every year with chest pain. Is it a heart attack or heartburn? The symptoms often bear a close resemblance - so close that it is dangerous for the patient to "self-diagnose." Up to 60 percent of those 5 million patients with chest pain will be diagnosed with GERD (gastroesophageal reflux disease, or acid reflux), a condition in which digestive acids flow back into the lower esophagus, damaging the lining and causing pain. GERD is not related to cardiac disorders. However, GERD itself could be a warning of possible life-threatening gastrointestinal disorders and should be evaluated professionally.
Medical authorities agree: Take no chances with severe chest pain. Seek medical care immediately to evaluate your condition.
With that strong caution, Reflux1 presents this summary of typical differences between cardiac symptoms and severe heartburn symptoms, for general patient information.
Heart attack
The chest pain feels like a squeezing, tightness, or dull pressure.
The pain (or a numbness) may spread to the shoulders, neck, or arm(s).
You may have shortness of breath, a cold sweat, and/or some light dizziness.
The pain may get worse with physical exertion. It may be temporarily relieved by ceasing activity and resting.Heartburn
The chest pain feels like a burning sensation behind the breastbone.
The pain commonly occurs after meals.
The pain is less likely to extend to the shoulders, neck, or arm(s).
You will probably not experience a cold sweat.
The pain may be relieved by over-the-counter antacids or similar medication.When you go to the emergency room for an evaluation, the doctor will take your medical history as well as administer diagnostic tests and a physical exam in order to ensure an accurate diagnosis.
