The type of chest pain which suggests it is of heart origin would be described as; ‘tightness’, a pressure over the chest, like a cramp but in the chest or ‘heaviness over the chest’. Some patient may form a fist and describe it as ‘Like that!’.
It is also more likely to be distributed over the whole central part of chest rather than a single spot. If you can put a finger on the pain, it is unlikely to be from the heart. It may seem to travel to your jaw or left shoulder or down the left arm.
The severity tends to build up rather than of a sudden onset. In the case of ‘angina’, it comes on and worsens with continued effort. It will gradually subside with rest. In the case of heart attack, the pain may come on at rest and build up to a peak. It won’t subside even with rest. The pain then will remain until it is treated or will last for hours. It may be accompanied by shortness of breath or cold sweat. Sometimes there is palpitation or even fainting spells.
Heart attack is a part of Ischaemic Heart Disease and should be seen by a cardiologist without delay.