Heart attack symptoms

Crushing chest pressure, pain radiating to the arm or jaw, sweating, nausea, and shortness of breath can indicate a heart attack. Call 911 immediately — a provider can address risk factors and prevention online after.

Also called: signs of heart attack · chest pressure · MI symptoms

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

Call 911 immediately — do not drive yourself:

  • Chest pressure, tightness, or heaviness lasting more than a few minutes
  • Pain spreading to the arm, jaw, neck, back, or upper stomach
  • Cold sweats, nausea, or vomiting with chest discomfort
  • New shortness of breath with or without chest pain
  • Sudden fatigue, dizziness, or fainting — especially in women or people with diabetes

What heart attack symptoms could be

The most common causes a clinician considers. This isn't a diagnosis — it's the differential a provider works through with you.

Hypertension

Hypertension is one of the more common causes of heart attack symptoms. A provider can confirm with the right history, exam, or labs — and start treatment the same day when appropriate.

High cholesterol

High cholesterol is one of the more common causes of heart attack symptoms. A provider can confirm with the right history, exam, or labs — and start treatment the same day when appropriate.

Anxiety

Anxiety is one of the more common causes of heart attack symptoms. A provider can confirm with the right history, exam, or labs — and start treatment the same day when appropriate.

Typical workup

What a clinician usually orders or asks about when someone presents with heart attack symptoms.

  • Focused history: timing, triggers, severity, and prior treatments related to "heart attack symptoms"
  • Targeted physical exam of the involved system
  • Rule-in / rule-out workup for the most likely causes: Hypertension, High cholesterol, Anxiety
  • Labs, imaging, or referral only when the answer will change management

When to see a clinician

  • Symptoms have lasted more than a few days without improving, or keep coming back
  • You're not sure if this needs antibiotics, prescription treatment, or watchful waiting
  • You have a chronic condition (diabetes, heart disease, immunocompromised) that raises the stakes
  • You want a same-day plan without a trip to urgent care

Common questions