Heart Racing? Recognizing the Signs of Panic Attacks vs. Heart Attacks

When your heart pounds uncontrollably, your chest tightens and you struggle to catch your breath, it’s easy to assume the worst. But is it a heart attack—or could it be a panic attack? 

Heart attacks and panic attacks can feel alarmingly similar, but understanding their differences can help you make informed decisions about your health.

Heart attack vs. panic attack: the overlap

Heart attacks and panic attacks share many symptoms, which is why they’re sometimes misidentified. Both can cause:

• Sweating

• Chest discomfort or pain

• Shortness of breath
• A racing or irregular heartbeat
• Dizziness or lightheadedness

Despite these similarities, the root causes of these conditions are very different. “A heart attack is caused by a blockage that prevents oxygen-rich blood from reaching the heart muscle, which can result in permanent damage without timely intervention,” said Stephen Mateka, D.O., Chair and Medical Director for Psychiatric Services at Inspira. “A panic attack, on the other hand, is a sudden surge of overwhelming anxiety that causes physical symptoms, often mimicking those of a heart attack.” 

While panic attacks are not life-threatening, heart attacks require immediate medical attention.

Heart attack vs. panic attack: spotting the differences

Heart attack pain often feels like intense pressure, squeezing or fullness in the chest, and it may radiate to other areas such as the arms, back, neck or jaw. Symptoms may develop gradually, lasting several minutes or more, and are often accompanied by nausea, vomiting or cold sweats. Physical exertion, stress or underlying heart conditions often precede these episodes.

“A panic attack often involves a sharp, localized chest pain that tends to peak quickly, usually within 10 minutes, before subsiding,” said Dr. Mateka. “Panic attacks are typically marked by an overwhelming sense of fear or an impending sense of doom, sometimes arising without a clear trigger.” Emotional stress or anxiety-inducing situations are common precursors, creating a storm of physical symptoms that mimic a heart attack but differ in duration and intensity. 

Why it’s important to seek help

If you’re unsure whether you’re experiencing a heart attack or a panic attack, err on the side of caution and seek immediate care. 

In cases where symptoms are attributed to a panic attack, there are steps you can take to address your health. “Panic attacks can significantly impact your quality of life, but they are manageable with the right support and strategies,” said Dr. Mateka. “Behavioral health specialists can provide tools and therapies to help you regain control and reduce the frequency or severity of these episodes.” 

Taking a proactive approach to health

Caring for both your heart health and your mental health is essential for your overall well-being. A heart-healthy lifestyle begins with nourishing your body with wholesome foods like fruits, vegetables, whole grains and lean proteins. Pairing a balanced diet with regular physical activity—whether a brisk walk, a calming yoga session or a jog through the park—can strengthen your heart and boost your energy. 

Managing stress is equally important. Deep breathing exercises, meditation and spending time with loved ones can help you stay centered. Regular checkups with your doctor, especially if you have a family history of heart disease, help ensure you stay ahead of any potential issues.

Nurturing your mental health is key to feeling balanced and resilient. Recognizing triggers for panic attacks can empower you to anticipate and manage overwhelming moments. Incorporating mindfulness practices or journaling into your daily routine can create space for reflection and calm. If your anxiety feels unmanageable, connecting with a therapist or counselor who specializes in anxiety disorders can provide valuable tools and support. Together, these efforts help cultivate a healthier, more harmonious life.

“Your physical and emotional health are deeply connected, and both deserve attention,” said Dr. Mateka. “If you’re experiencing chest pain or any concerning symptoms, seek help immediately.” Heart attacks are medical emergencies that require immediate treatment, and panic attacks, while not life-threatening, benefit from timely support to improve your quality of life.

Learn more about behavioral and mental health services at Inspira.