Chest pain causes

Chest pain may come from the heart, lungs, reflux or muscles, and seriousness cannot be judged from pain severity alone. New unexplained chest pain or discomfort with shortness of breath, sweating, nausea, fainting or pain spreading to the arm or jaw needs emergency evaluation; call 911. Online care cannot rule out a heart attack.

Also called: what causes chest pain · heart attack vs anxiety · chest tightness

Medically reviewed by Dr. Ikechukwu Ogbu, MD
MD · Board-Certified, Internal Medicine · Last reviewed

Call 911 immediately if you have:

  • Crushing pressure, tightness, or squeezing in the chest lasting more than a few minutes
  • Pain radiating to the arm, jaw, neck, or back
  • Shortness of breath, sweating, nausea, or lightheadedness with chest pain
  • Sudden severe chest pain with a tearing or ripping quality
  • Chest pain with fainting or a fast/irregular heartbeat

Conditions related to chest pain causes

These conditions may be associated with this topic. They are not a diagnosis or a ranked list of causes; follow the urgent-care guidance below.

GERD / acid reflux

GERD / acid reflux is related to this topic. Its presence here does not establish the cause of chest pain causes or that acute symptoms can be treated online.

Anxiety

Anxiety is related to this topic. Its presence here does not establish the cause of chest pain causes or that acute symptoms can be treated online.

Panic disorder

Panic disorder is related to this topic. Its presence here does not establish the cause of chest pain causes or that acute symptoms can be treated online.

When to see a clinician

  • Crushing pressure, tightness, or squeezing in the chest lasting more than a few minutes
  • Pain radiating to the arm, jaw, neck, or back
  • Shortness of breath, sweating, nausea, or lightheadedness with chest pain
  • Sudden severe chest pain with a tearing or ripping quality
  • Chest pain with fainting or a fast/irregular heartbeat

Common questions