How can i tell whether i am having an anxiety attack or a heart attack?

Anxiety: At 30y/o the likelihood weighs in favor of anxiety attack. Getting a treadmill test or other evaluation to minimize the possibility of ischemic heart disease can let you concentrate on working on your anxiety condition if that is indeed what the problem is.

Risk factors: You have to examine yourself, ask the risk factors: hypertension, male sex, smoking, high cholesterol, other diseases (dm, obesity, rheumatologic such as sle) and family history and age.. Then look at the symptoms of chest pressure, severe sweating, dyspnea, radiation of pain. Again reassess the risks, have a baseline ekg. Don't be overconfident of anxiety unless assesses properly.