I have high cholesterol, panic disorder and always have heart attack symptoms that end up being panic how can i tell the differencek? normal echo.

Chest pain: Chest pain and shortness of breath can be symptoms of a heart attack as well as panic disorder. Heart disease can be predicted based on age and risk factors - family history of heart disease before age 55, smoking, obesity, diabetes, hypertension, hyperlipidemia. Based on your info provided, even with high cholesterol, your risk of heart disease is low. Get treatment for your panic symptoms.

Panic vs. chest pain: given your age, myocardial infarction seems unlikely. my guess is you have had an EKG and it was normal and you can not stress too much about having a MI. panic attacks and MI differ in: MIs are often accompanied by a sensation of intense pressure over the chest, pain radiating to the jaw or shoulder and shortness of breath. its unlikely that the pain would resolve in 3min.