Chest pain or discomfort could indicate a heart, gastrointestinal or other issue. If it’s related to the heart, it will often occur with exertion like exercise. In any case, it should be discussed with your medical provider.

“Only when you talk to an expert can you tell if there is something serious that needs immediate attention,” said Stephanie Kral, a Marshfield Clinic Health System cardiology physician assistant.

Angina and its symptoms

Angina is chest pain that is caused by reduced blood flow to the heart. It typically feels like a pressure, squeezing or tightness in the chest. If persistent, this pain could be a symptom of an underlying condition like coronary artery disease.

There are several types of angina that range from stable to unstable. There is also a spectrum of treatment methods. Sometimes it can be treated by lifestyle changes. Other times, surgery is needed.

No matter the severity, you should get it checked out.

“Leaving angina untreated is not a wise choice,” said Kral. “Angina is a symptom of underlying cardiac disease. It puts you at risk for a heart attack or other health issues.”

How heart attacks are different

Many people describe angina as ‘discomfort’ rather than ‘pain.’ Things change when someone is having a heart attack. Chest pain due to a heart attack commonly includes pain that is severe and persistent. A heart attack also may be accompanied by shortness of breath, nausea and lightheadedness.

If your pain is extremely localized to one area, it is probably not a heart attack.

“If you have a stabbing pain that you can point to with one finger in one area, it is usually not a heart attack,” Kral said.

Other serious problems chest pain may indicate

Aortic dissection is another serious problem that could be signaled by chest pain. The aorta is the largest artery in the body and it can tear. When this happens, it is very serious and immediate medical attention is needed.

Chest pain also could occur as a result of inflammation in or a rupture of the esophagus.

“That will result in severe pain and is very serious,” Kral said. “Pain from the aorta and esophagus are usually very intense.”

Patients who seek care for chest pain are initially asked for a detailed history and then physically examined. An EKG test may follow.

If you have concerns about chest pain, consult with your provider.

For immediate care, visit Marshfield Clinic Health System.

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