Chest pain is a common and alarming symptom that often signals something serious. In India, more than 25% of deaths are attributed to heart disease, making it essential to identify early signs. Many people confuse a heart attack with acid reflux (heartburn), as both can cause similar chest pain.
Although both conditions may present with pain or pressure in the chest, their causes, intensity, and consequences differ significantly. Knowing how to distinguish between heart attack and acid reflux symptoms can be life-saving.
Continue reading to learn the difference between acid reflux and a heart attack.
A heart attack, or myocardial infarction, occurs when blood flow to a part of the heart is blocked, often due to a blood clot. This blockage prevents oxygen supply to the heart muscle, causing chest pain and other severe symptoms.
Common symptoms include chest pressure, shortness of breath, radiating pain to the arm or jaw, cold sweat, and nausea. Heart attacks are a medical emergency and require immediate attention to prevent life-threatening damage.
Acid reflux, also known as gastroesophageal reflux disease (GERD), occurs when stomach acid flows back into the esophagus. This backflow irritates the esophagus, and a burning sensation is typically felt behind the breastbone.
Symptoms are often triggered by spicy or fatty foods, lying down after eating, or overeating. Though uncomfortable, acid reflux is generally harmless and can be managed with lifestyle changes and medications.
Although both conditions involve chest discomfort, the location, intensity, and associated symptoms help distinguish one from the other. Recognizing these subtle symptoms enables you to seek the proper treatment in time.
The following table provides a clear comparison between heart attack and acid reflux symptoms:
Symptom Area | Heart Attack | Acid Reflux (GERD) |
Chest Pain | Heavy, tight, crushing pain, radiating to the arm/jaw. | Burning sensation in the chest, often after eating. |
Pain Duration | It lasts more than a few minutes and may come and go. | Often brief, triggered by meals or lying down. |
Breathing Difficulty | Shortness of breath even without exertion. | May feel breathless when acid irritates the airways. |
Nausea | Often accompanied by cold sweats and lightheadedness. | May occur with bloating and a sour taste. |
Pain Trigger | Occurs during activity or rest, often unpredictably. | Triggered by food, posture, or overeating. |
Relief With Antacids | No relief with antacids or burping. | Often relieved by antacids or belching. |
Other Symptoms | Dizziness, fatigue, cold sweats, left-side body pain. | Bitter taste, sore throat, burping, and no sweating. |
Onset Time | Sudden onset, especially in the early morning or with exertion. | Gradual onset after meals or lying down. |
Radiating Pain | Spreads to the back, left arm, neck, or jaw. | Usually localized, rarely radiates beyond the chest. |
ECG/Medical Tests Findings | Abnormal ECG, elevated troponin levels, and other diagnostic markers. | Normal ECG and cardiac enzymes; diagnosed via endoscopy or pH monitoring. |
Medical Urgency | Requires immediate emergency care and hospitalization. | Usually manageable with diet and medication. |
Distinguishing between heart attack and acid reflux symptoms is crucial, as both can cause chest discomfort but differ in cause and severity. While acid reflux is often harmless and manageable, heart attack symptoms require immediate medical attention. Recognizing red flags such as radiating pain, cold sweats, and breathlessness can be life-saving. When in doubt, always seek emergency care.
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