I am having heart attack symptoms, could it be anxiety or my acid reflux?

Could be heart: Remember a heart attack is an occlusion of a coronary artery and doesn't mean cardiac arrest. If you develop sudden crushing chest pain not relieved with rest you may be having a heart attack. Seek urgent medical attention. Chest pain associated with activity could be angina and you should be checked out.

Yes: Yes, the symptoms could be medically based and/or have a psychological component; suggest individual see pcp first, & if recommended a cardiologist; if not medical, see a mental health prof. To evaluate for possible anxiety, stress, &/or depression.