How does anxiety cause chest pain?

Chest Pain

Chest Pain from Anxiety

​Panic attacks are characterized by sudden and intense feelings of fear, anxiety, and discomfort. During a panic attack, individuals may experience a wide range of physical symptoms, including shortness of breath, palpitations, dizziness, sweating, and chest pain. Chest pain is one of the most common symptoms experienced by individuals during a panic attack, and it can be a source of significant distress and concern.


Chest pain during a panic attack is often described as a tightness or pressure in the chest that may feel like a heart attack. This sensation can be frightening and can exacerbate feelings of anxiety and panic. However, it is important to note that chest pain during a panic attack is not usually a sign of a serious medical condition.


So, why do panic attacks cause chest pain?


There are several reasons why panic attacks can cause chest pain. The first reason is related to the physical symptoms of anxiety. During a panic attack, the body's fight or flight response is activated, triggering the release of stress hormones such as adrenaline and cortisol. These hormones can cause physical changes in the body, including an increased heart rate, rapid breathing, and muscle tension. This can lead to chest pain, as the muscles in the chest become tense and constricted, making it difficult to breathe and causing discomfort.


Another reason why panic attacks can cause chest pain is related to the psychological symptoms of anxiety. During a panic attack, individuals may experience intense feelings of fear, dread, and impending doom. These feelings can trigger a range of physical sensations, including chest pain. The fear of having a heart attack or other serious medical condition can also exacerbate the physical symptoms of anxiety, leading to chest pain and other discomfort.


In addition to the physical and psychological symptoms of anxiety, panic attacks can also cause chest pain due to hyperventilation. Hyperventilation is a common symptom of panic attacks, and it occurs when individuals breathe too quickly or deeply. This can lead to an imbalance in oxygen and carbon dioxide levels in the body, causing symptoms such as dizziness, lightheadedness, and chest pain.


It is important to note that chest pain during a panic attack is usually not a sign of a serious medical condition. However, if you are experiencing chest pain or discomfort, it is always a good idea to seek medical attention to rule out any serious underlying health issues.  Heart attacks can cause similar symptoms which is why patients with panic attacks often are diagnosed first in the emergency room.


In conclusion, chest pain is a common symptom experienced by individuals during a panic attack. This discomfort can be caused by a range of physical and psychological factors, including muscle tension, hyperventilation, and feelings of fear and anxiety. While chest pain during a panic attack can be distressing, it is usually not a sign of a serious medical condition. If you are experiencing chest pain or discomfort, it is important to seek medical attention to rule out any underlying health issues and to find ways to manage and reduce the symptoms of anxiety.