How can you tell the difference between esophegeal spasms and heart palpitations?

Feel the pulse: Heart palpitations does not cause the pain in the mid chest like what you would feel with esophageal spasm -- in fact you can not differentiate esophageal or heart cause of angina pectoris or chest pain.

CP: Chest pain causes: heart attack, musculoskeletal pan, coronary artery disease, aneurysm, pulmonary embolism, esophagitis, acid reflux, pneumonia, gall baldder disease etc. Get checked with your doctor if you have persistent pain. Heart palpitations is a fluttering sensation in the chest because of rapid heart rate. Spasms can feel like a chest pain.