Esophageal. Spasm, heart attack or angina?

May be hard to tell. If the chest pain is caused by swallowing, especially something very hot or very cold, then most likely esophageal spasm. If the chest pain is caused by exertion, then most likely angina or heart attack.
Depends. Good question! the presenting symptoms are similar but with careful history and lab tests, it can be well differentiated.

Related Questions

I have angina due to to having coronary artery spasms. How serious is this condition and can I have a heart attack through it.?

Heart attach. Yes it is so important for your doctors (pcp & cardio) to get to know you. Coronary heart disease not always has typical symptoms of angina radiating to neck/left arm, nausea or vomiting. It could be manifested as fatigue , indigestion leg swelling, or no symptom. Read more...
Variable course. If you have all the tests done and the cardiologist decided that you have variant/prinzmetal angina , you are prone to have a variable course. Generally you have good prognosis if they did not find any lesions on the cath. Read more...

Does heart attack or angina always radiate to other parts?

Absolutely not! Hi. In fact, a sizable fraction of MI's are "silent" - no symptoms of any kind. Radiation of pain may or may not occur with MI or angina. Read more...

A heart attack or angina? What are the differences in symptoms between a heart attack and angina?

Angina . Angina and heart attack symptoms are both the result of reduced blood flow to heart muscle. Both can result in chest pain, pressure or squeezing that can radiate into the neck, jaw or arm and can be accompanied by other symptoms such as sweating, dizziness, or nausea. There are important differences though. Angina is brought on by exertion and relieved by rest or certain medications, such as nitroglycerin. It is the result of chronic cholesterol buildup in one or more of the coronary arteries, which restricts adequate blood flow to heart muscle during periods of increased activity. Angina usually resolves within 15 minutes of stopping activity or taking nitroglycerin. When someone experiences angina for the first time, or when their angina is provoked more easily this is called unstable angina and requires immediate medical attention. As opposed to angina, heart attacks happen suddenly and the symptoms can be more severe and persist much longer. Heart attacks are a result of a sudden blockage of the coronary blood vessel, typically by a ruptured cholesterol plaque. Heart attack symptoms persist until the blockage resolves, or if it does not resolve, until the heart muscle dies. Not all patients with heart attacks have angina prior. Heart attacks are a medical emergency and always require immediate medical attention. Read more...

Can anxiety cause a silent heart attack or angina?

Yes. Significant stress, from any cause, whether it be extreme physical exertion, emotional distress or extreme anxiety can precipitate a myocardial infarction. This is especially true if there is a favorable substrate for such an event like pre-existing coronary artery disease or other known cardiovascular risk factors. Read more...
Not by itself. Stress does contribute to heart attacks, but does not directly cause them. Family history, diabetes, high blood pressure, hyperlipidemia and smoking are the known risk factors. Occasionally, even people without CAD will feel tightness in their chest when anxious, hyperventilating, or tightening their musculature. Of course, if their is any question, one should seek care by their pcp or er. Read more...

What is likelyhood of having heart attack or angina after angioplasty (balloon) & stent placed on main artery?

Angioplasty/stent . Heart attack is not necessarily prevented by angioplasty or stent. We do treat the underlying disease aggressively as well as dual anti platelet therapy to prevent stent thrombosis. If you smoke it negates much of the treatment. Most people do well after angioplasty and stenting. Read more...
Of you had a stent. U are at high risk & need aggressive prevention (lifestyle & medications). Read more...

Is angina usual after a heart attack?

See doctor. Angina would mean there is heart muscle which is still getting poor blood flow. This maybe from an area which can not be treated with a stent or surgery. But it could also be an area which can be treated. Only your cardiologist can help you figure that out. Go see him/her. Read more...