🕷️ Crawler Inspector

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Direct Parameter Lookup

Raw Queries and Responses

1. Shard Calculation

Query:

Response:

Calculated Shard: 98 (from laksa008)

2. Crawled Status Check

Query:

curl -X POST \
  'http://laksa098.int.ahrefs:8124/' \
  -H 'Content-Type: text/plain' \
  -H 'X-ClickHouse-Database: crawler3' \
  -H 'Authorization: Basic YXBpOg==' \
  -d 'SELECT getAhrefsURLFromUnparsed(src_unparsed) AS found_url, ifNull(toUnixTimestamp(download_stamp), 0) AS crawl_time, ifNull(toUnixTimestamp(props_url_first_seen), 0) AS first_indexed_time, download_http_code AS http_code, src_unparsed AS src_unparsed, src_root_hash AS src_root_hash, history_drop_reason AS history_drop_reason, meta_title AS meta_title, meta_descriptions AS meta_descriptions, attrs_boilerpipe_text AS attrs_boilerpipe_text, attrs_markdown AS attrs_markdown, attrs_readable_markdown AS attrs_readable_markdown, meta_canonical AS meta_canonical FROM crawler3.page_info_local FINAL PREWHERE (src_root_hash, src_unparsed) IN ((getAhrefsRootHashFromUnparsed(getAhrefsUnparsedNoserviceFromURL(\'https://www.michiganmedicine.org/health-lab/when-chest-pain-isnt-heart-attack\')), getAhrefsUnparsedNoserviceFromURL(\'https://www.michiganmedicine.org/health-lab/when-chest-pain-isnt-heart-attack\'))) FORMAT JSONEachRow'

Response:

{"found_url":"https:\/\/www.michiganmedicine.org\/health-lab\/when-chest-pain-isnt-heart-attack","crawl_time":1776380163,"first_indexed_time":1676597095,"http_code":200,"src_unparsed":"org,michiganmedicine!www,\/health-lab\/when-chest-pain-isnt-heart-attack s443","src_root_hash":"10189133355254079098","history_drop_reason":null,"meta_title":"When chest pain isn’t a heart attack | Michigan Medicine","meta_descriptions":["For chest pain, a cardiologist from University of Michigan Health discusses other potential causes of the symptom."],"attrs_boilerpipe_text":"Aside from injuries, the second most common reason adults in the United States go to the emergency department is chest pain, accounting for\nmore than 6.5 million visits\nannually. Despite the growing prevalence of cardiovascular disease nationwide, more than half of these chest pain visits have noncardiac causes.\nBut chest pain, and the possibility of a heart problem, are not to be taken lightly. There can be several reasons a person experiences it, and the likelihood of a cardiac issue hinges mostly on a patient’s risk profile, says Nicole Bhave, M.D., a cardiologist at the University of Michigan Health Frankel Cardiovascular Center.\nHere, Bhave answers several essential questions about noncardiac chest pain, its causes and treatments, and how it differs from heart attack.\nWhat most commonly causes noncardiac chest pain?\nBhave:\nWe see three main causes of noncardiac chest pain or discomfort. The first is gastroesophageal reflux disease, commonly called GERD. This form of acid reflux causes heartburn. Your body doesn’t always know how to express pain in the stomach or esophagus, so the pain is often “referred” to the center of the chest.\nSome people may notice that certain foods trigger it, especially if they are spicy, fatty or acidic. If you eat a really large meal, or if you have alcohol or a lot of caffeine, these can all cause heartburn. That pain will often become worse if you lie down, and it can present as chest pain.\nPain can also originate from the muscles and joints in the chest wall. A particularly strenuous workout or heavy lifting can lead to strain of those muscles. Similarly, if you’ve been coughing because of a respiratory illness, that can cause strain on the muscles and cause chest discomfort as well. Some people who have problems with abnormal curvature of the spine may also experience chest discomfort.\nFinally, emotional stress or anxiety are very common reasons for people to have chest tightness or discomfort. If you have a panic attack, you may experience a feeling of the heart racing or pounding, often associated with chest tightness or pressure and difficulty breathing. \n \nHow can you differentiate between noncardiac chest pain and heart attack?\nBhave:\nIt can be quite challenging to distinguish, and we often can’t be certain until we do an evaluation, like an electrocardiogram, also known as an EKG, or a blood test.\nAs physicians, we are more concerned about chest pain in patients who have risk factors for heart disease, such as high blood pressure, diabetes, kidney disease and being over the age of 60. These conditions all increase risk for coronary artery disease, or blockages in the heart arteries.\nIf you have chest pain that’s new and severe, or associated with other symptoms like shortness of breath or nausea, these are reasons that you should go to the emergency department. Classically, heart pain is in the center or left side of the chest, and it may radiate down the left arm or into the jaw. But not every patient experiences the typical “elephant-on-your-chest” feeling. Sometimes, nausea, shortness of breath or feelings of indigestion are the most prominent symptoms. A lot of times when people are having heart attacks, they just feel really unwell, maybe cold and clammy. They know inherently that something is wrong.\nOn the other hand, if you are having chest pain that is very brief, lasting only seconds or minutes and going away, without any of these associated symptoms, like the shortness of breath or nausea, it may not be heart-related. The same goes for chest discomfort that gets better with antacids, muscle relaxants, warm compresses, or relaxation and deep breathing.\nNot all heart-related chest pain is due to blockages in the heart arteries. A condition called pericarditis, which is inflammation around the lining of the heart, can cause chest pain that gets worse with deep breaths or with lying down. Pulmonary embolism, or a blood clot in the lung, can cause shortness of breath, elevated heart rate and chest pain that gets worse with deep breathing. If you are having chest pain with these kinds of features, you should go to the emergency room.\nWhen should you go to the doctor with chest pain?\nBhave:\nThis is a difficult question, but it most often boils down to the severity of the pain and the heart attack symptoms we mentioned above. If the pain is so severe that you feel like you can’t function, or if you are experiencing central or left-sided chest pain — especially if you have nausea or a cold and clammy feeling alongside it — it is always safest to go to the emergency room. With chest pain, it’s best to be cautious.\nHow is noncardiac chest pain treated?\nBhave:\nMusculoskeletal pain in the chest wall can usually be treated with conservative measures, like taking ibuprofen, applying warm compresses to the site and resting. Pain related to acid reflux usually gets better with antacids or medications like famotidine (Pepcid) or omeprazole (Prilosec). Changes to your lifestyle can also mitigate this pain. Not eating late at night and minimizing the quantity of the acidic and fatty foods you eat are a good start.\nFor noncardiac pain caused by anxiety, depression or another mental health condition, there are several ways to approach treatment. You could talk to your primary care provider about starting an anti-anxiety medication or working with a therapist. The mind-body connection is very powerful, and stress reduction techniques like deep breathing and meditation are often helpful.\nLike Podcasts?\nAdd the\nMichigan Medicine News Break\non\nSpotify\n,\nApple Podcasts\nor anywhere you listen to podcasts.","attrs_markdown":"Consent for Cookie Use\n\nWe use cookies to improve your experience on our websites. You can learn more about what information we collect and how we use it on our [Internet Privacy Statement](https:\/\/www.michiganmedicine.org\/internet-privacy-statement \"Privacy & Cookies Policy\").\n\n[Skip to main content](https:\/\/www.michiganmedicine.org\/health-lab\/when-chest-pain-isnt-heart-attack#main-content)\n\n[About Michigan Medicine](https:\/\/www.michiganmedicine.org\/) [Patient Care](https:\/\/www.uofmhealth.org\/) [Research](https:\/\/medresearch.umich.edu\/) [Education](https:\/\/medschool.umich.edu\/) [Departments](https:\/\/medschool.umich.edu\/departments)\n\nEvents\n\nCareers\n\nContact\n\n[![logo](https:\/\/www.michiganmedicine.org\/themes\/custom\/outline_frontend\/logo-enterprise.svg)](https:\/\/www.michiganmedicine.org\/)\n\nAbout Us\n\n[About Us](https:\/\/www.michiganmedicine.org\/about-us)\n\n[History](https:\/\/www.michiganmedicine.org\/about-us\/michigan-medicine-history)\n\n[Honors & Awards](https:\/\/www.michiganmedicine.org\/about-us\/michigan-medicine-honors-awards)\n\n[Leadership](https:\/\/www.michiganmedicine.org\/about-us\/michigan-medicine-leadership)\n\n[Health Advancement](https:\/\/www.michiganmedicine.org\/about-us\/health-advancement)\n\n[Mission](https:\/\/www.michiganmedicine.org\/michigan-medicine-mission)\n\nCommunity\n\n[Community](https:\/\/www.michiganmedicine.org\/community)\n\n[Community Health Services](https:\/\/www.michiganmedicine.org\/community\/community-health-services)\n\n[Arts in Health](https:\/\/www.michiganmedicine.org\/community\/arts-health-home)\n\n[Community Health Planning & Investment](https:\/\/www.michiganmedicine.org\/community\/community-health-planning-and-investment)\n\n[Life-Saving Donations](https:\/\/www.michiganmedicine.org\/community\/life-saving-donations-home)\n\n[Osher Lifelong Learning Institute (OLLI)](https:\/\/www.michiganmedicine.org\/community\/osher-lifelong-learning-institute)\n\n[Sponsorship](https:\/\/www.michiganmedicine.org\/community\/community-sponsorship)\n\n[Environmental, Social & Governance](https:\/\/www.michiganmedicine.org\/community\/environmental-social-governance)\n\nGiving\n\n[Giving](https:\/\/www.michiganmedicine.org\/giving)\n\n[Areas to Support](https:\/\/www.michiganmedicine.org\/giving\/areas-support)\n\n[Campaign](https:\/\/www.michiganmedicine.org\/giving\/look-to-michigan)\n\n[Ways to Give](https:\/\/www.michiganmedicine.org\/giving\/ways-give)\n\n[Get Involved](https:\/\/www.michiganmedicine.org\/giving\/giving-get-involved)\n\n[Fundraising Events](https:\/\/www.michiganmedicine.org\/giving\/fundraising-events)\n\n[About the Office of Development](https:\/\/www.michiganmedicine.org\/giving\/about-michigan-medicine-office-development)\n\nNews & Stories\n\n[News & Stories](https:\/\/www.michiganmedicine.org\/news-and-stories-michigan-medicine)\n\n[Health Lab](https:\/\/www.michiganmedicine.org\/health-lab)\n\n[Medicine at Michigan](https:\/\/www.michiganmedicine.org\/medicine-at-michigan)\n\n[Michigan Answers](https:\/\/www.michiganmedicine.org\/michigan-answers)\n\n[Michigan Medicine Podcast Network](https:\/\/www.michiganmedicine.org\/podcasts)\n\n[Press Room](https:\/\/www.michiganmedicine.org\/news-stories\/michigan-medicine-press-room)\n\n- [About Us](https:\/\/www.michiganmedicine.org\/about-us)\n  \n  - 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Weiser Food Allergy Center](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/giving-mary-h-weiser-food-allergy-center)\n    - [Medical School Student Programs](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/giving-medical-school-student-programs)\n    - [Michigan Alzheimer's Disease Center](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/giving-michigan-alzheimers-disease-center)\n    - [Michigan Neuroscience Institute](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/giving-michigan-neuroscience-institute)\n    - [Microbiology & Immunology](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/giving-microbiology-immunology)\n    - [Molecular & Integrative Physiology](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/giving-molecular-integrative-physiology)\n    - [Nathan and Catherine Forbes Sports Medicine Institute](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/giving-nathan-and-catherine-forbes-sports-medicine-institute)\n    - [Neurology](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/giving-neurology)\n    - [Neuroscience Graduate Program](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/giving-neuroscience-graduate-program)\n    - [Neurosurgery](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/giving-neurosurgery)\n    - [Nursing](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/giving-nursing-michigan)\n    - [Obstetrics & Gynecology](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/giving-obstetrics-gynecology)\n    - [Office of Graduate and Postdoctoral Studies](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/giving-office-graduate-and-postdoctoral-studies)\n    - [Office of Patient Experience](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/giving-office-patient-experience)\n    - [Ophthalmology and Visual Sciences](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/giving-ophthalmology-and-visual-sciences)\n    - [Orthopaedic Surgery](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/giving-orthopaedic-surgery)\n    - [Otolaryngology-Head and Neck Surgery](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/giving-otolaryngology-head-and-neck-surgery)\n    - [Pathology](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/giving-pathology)\n    - [Pediatrics](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/giving-pediatrics)\n    - [Pharmacology](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/giving-pharmacology)\n    - [Physical Medicine & Rehabilitation](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/giving-physical-medicine-rehabilitation)\n    - [Psychiatry](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/giving-psychiatry)\n    - [Radiation Oncology](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/giving-radiation-oncology)\n    - [Radiology](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/giving-radiology)\n    - [Social Work](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/giving-social-work)\n    - [Surgery](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/giving-surgery)\n      \n      - [General Surgery](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/surgery\/giving-general-surgery)\n      - [Oral and Maxillofacial Surgery](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/surgery\/giving-section-oral-and-maxillofacial-surgery)\n      - [Pediatric Surgery](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/surgery\/giving-section-pediatric-surgery)\n      - [Plastic Surgery](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/surgery\/giving-plastic-surgery)\n      - [Thoracic Surgery](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/surgery\/giving-thoracic-surgery)\n      - [Transplant Surgery](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/surgery\/giving-transplant-surgery)\n      - [Vascular Surgery](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/surgery\/giving-vascular-surgery)\n    - [Transplant Center](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/giving-transplant-center)\n    - [Urology](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/giving-urology)\n    - [Von Voigtlander Women's Hospital](https:\/\/www.michiganmedicine.org\/giving\/areas-support\/giving-von-voigtlander-womens-hospital)\n  - [Campaign](https:\/\/www.michiganmedicine.org\/giving\/look-to-michigan)\n  - [Ways to Give](https:\/\/www.michiganmedicine.org\/giving\/ways-give)\n    \n    - [Annual & Recurring Gifts](https:\/\/www.michiganmedicine.org\/giving\/ways-give\/annual-and-recurring-gifts)\n    - [Corporate and Foundation Gifts](https:\/\/www.michiganmedicine.org\/giving\/ways-give\/corporate-and-foundation-gifts)\n    - [Cryptocurrency](https:\/\/www.michiganmedicine.org\/giving\/ways-give\/cryptocurrency)\n    - [Donor Advised Funds](https:\/\/www.michiganmedicine.org\/giving\/ways-give\/donor-advised-funds)\n    - [Endowments](https:\/\/www.michiganmedicine.org\/giving\/ways-give\/endowments)\n    - [Estate & Planned Gifts](https:\/\/www.michiganmedicine.org\/giving\/ways-give\/estate-and-planned-gifts)\n    - [In-Kind Gifts](https:\/\/www.michiganmedicine.org\/giving\/ways-give\/kind-gifts)\n      \n      - [In-Kind Gifts to C.S. Mott Children's Hospital](https:\/\/www.michiganmedicine.org\/giving\/ways-give\/kind-gifts\/cs-mott-childrens-hospital-kind-giving)\n        \n        - [Giving Library](https:\/\/www.michiganmedicine.org\/giving\/ways-give\/kind-gifts\/kind-gifts-cs-mott-childrens-hospital\/giving-library)\n        - [Mott Toy Store](https:\/\/www.michiganmedicine.org\/giving\/ways-give\/kind-gifts\/kind-gifts-cs-mott-childrens-hospital\/mott-toy-store)\n        - [Toy and Safety Guidelines](https:\/\/www.michiganmedicine.org\/giving\/ways-give\/kind-gifts\/cs-mott-childrens-hospital-kind-giving#toy-safety-guidelines)\n    - [Memorial or Tribute Gifts](https:\/\/www.michiganmedicine.org\/giving\/ways-give\/memorial-or-tribute-gifts)\n    - [Stocks and Securities](https:\/\/www.michiganmedicine.org\/giving\/ways-give\/stocks-and-securities)\n    - [Wire and ACH Payments](https:\/\/www.michiganmedicine.org\/giving\/ways-give\/wire-and-ach-payments)\n  - [Get Involved](https:\/\/www.michiganmedicine.org\/giving\/giving-get-involved)\n  - [Fundraising Events](https:\/\/www.michiganmedicine.org\/giving\/fundraising-events)\n    \n    - [Big Hearts for Seniors](https:\/\/www.michiganmedicine.org\/giving\/fundraising-events\/big-hearts-seniors)\n      \n      - [Auction](https:\/\/www.michiganmedicine.org\/giving\/fundraising-events\/big-hearts-seniors\/auction)\n      - [Committee](https:\/\/www.michiganmedicine.org\/giving\/fundraising-events\/big-hearts-seniors\/big-hearts-seniors-committee)\n      - [Sponsors](https:\/\/www.michiganmedicine.org\/giving\/fundraising-events\/big-hearts-seniors\/2026-sponsors)\n      - [Sponsorship Opportunities](https:\/\/www.michiganmedicine.org\/giving\/fundraising-events\/big-hearts-seniors\/big-hearts-seniors-sponsorship-opportunities)\n    - [The Woodson Fund Events](https:\/\/www.michiganmedicine.org\/giving\/fundraising-events\/woodson-fund-events)\n      \n      - [Event on Main](https:\/\/www.michiganmedicine.org\/giving\/fundraising-events\/woodson-fund-events\/event-main)\n      - [Golf on Main](https:\/\/www.michiganmedicine.org\/fundraising-events\/woodson-fund-events\/golf-main)\n      - [Sponsors](https:\/\/www.michiganmedicine.org\/giving\/fundraising-events\/woodson-fund-events\/2026-event-main-golf-main-sponsors)\n      - [Sponsorship Opportunities](https:\/\/www.michiganmedicine.org\/giving\/fundraising-events\/events-that-inspire-hope\/sponsorship-opportunities)\n    - [Women's Health Luncheon](https:\/\/www.michiganmedicine.org\/giving\/fundraising-events\/womens-health-luncheon)\n      \n      - [Committee](https:\/\/www.michiganmedicine.org\/giving\/fundraising-events\/womens-health-luncheon\/womens-health-luncheon-committee)\n      - [Sponsorship Opportunities](https:\/\/www.michiganmedicine.org\/giving\/fundraising-events\/womens-health-luncheon\/sponsorship-opportunities)\n      - [Sponsors](https:\/\/www.michiganmedicine.org\/giving\/fundraising-events\/womens-health-luncheon\/sponsors)\n    - [Mott Golf Classic](https:\/\/www.michiganmedicine.org\/giving\/fundraising-events\/mott-golf-classic)\n      \n      - [Committee Members](https:\/\/www.michiganmedicine.org\/giving\/fundraising-events\/mott-golf-classic\/committee-members)\n      - [Sponsorship Levels](https:\/\/www.michiganmedicine.org\/giving\/fundraising-events\/mott-golf-classic\/sponsorship-levels)\n      - [2025 Sponsors](https:\/\/www.michiganmedicine.org\/giving\/fundraising-events\/mott-golf-classic\/2025-sponsors)\n      - [Contact Information](https:\/\/www.michiganmedicine.org\/giving\/fundraising-events\/mott-golf-classic\/contact-information)\n  - [About the Office of Development](https:\/\/www.michiganmedicine.org\/giving\/about-michigan-medicine-office-development)\n- [News & Stories](https:\/\/www.michiganmedicine.org\/news-and-stories-michigan-medicine)\n  \n  - [Health Lab](https:\/\/www.michiganmedicine.org\/health-lab)\n  - [Medicine at Michigan](https:\/\/www.michiganmedicine.org\/medicine-at-michigan)\n    \n    - [All Stories](https:\/\/www.michiganmedicine.org\/news-stories\/medicine-michigan\/medicine-michigan-all-stories)\n      \n      - [Alumni Stories](https:\/\/www.michiganmedicine.org\/news-stories\/medicine-michigan\/all-articles\/medicine-michigan-alumni-stories)\n      - [Faculty Stories](https:\/\/www.michiganmedicine.org\/medicine-at-michigan\/faculty-stories)\n      - [Featured Stories](https:\/\/www.michiganmedicine.org\/medicine-at-michigan\/featured-stories)\n      - [Student Stories](https:\/\/www.michiganmedicine.org\/news-stories\/medicine-michigan\/all-stories\/medicine-michigan-student-stories)\n    - [Past Issues](https:\/\/www.michiganmedicine.org\/medicine-at-michigan\/issue-list)\n  - [Michigan Answers](https:\/\/www.michiganmedicine.org\/michigan-answers)\n    \n    - [Share Your Michigan Answer](https:\/\/www.michiganmedicine.org\/news-stories\/michigan-answers\/share-your-michigan-answer)\n  - [Michigan Medicine Podcast Network](https:\/\/www.michiganmedicine.org\/podcasts)\n    \n    - [Breaking Down Mental Health](https:\/\/www.michiganmedicine.org\/breaking-down-mental-health)\n    - [Cancer Aware](https:\/\/www.michiganmedicine.org\/news-stories\/michigan-medicine-podcast-network\/cancer-aware)\n    - [Health Lab Podcast](https:\/\/www.michiganmedicine.org\/health-lab-podcast)\n    - [Michigan Answers](https:\/\/www.michiganmedicine.org\/michigan-answers-podcast)\n    - [Michigan Medicine Presents](https:\/\/www.michiganmedicine.org\/michigan-medicine-presents)\n    - [Michigan Medicine Surgery Sessions](https:\/\/www.michiganmedicine.org\/michigan-surgery-sessions)\n    - [Minding Memory](https:\/\/www.michiganmedicine.org\/minding-memory)\n    - [The Fundamentals](https:\/\/www.michiganmedicine.org\/news-stories\/michigan-medicine-podcast-network\/fundamentals)\n    - [Well-Being at Michigan Medicine](https:\/\/www.michiganmedicine.org\/well-being-michigan-medicine)\n  - [Press Room](https:\/\/www.michiganmedicine.org\/news-stories\/michigan-medicine-press-room)\n    \n    - [Clips for Broadcast Media](https:\/\/www.michiganmedicine.org\/news-stories\/press-room\/clips-broadcast-media)\n    - [Contact the Media Team](https:\/\/www.michiganmedicine.org\/news-stories\/press-room\/contact-media-team)\n    - [Patient Privacy and HIPAA](https:\/\/www.michiganmedicine.org\/news-stories\/press-room\/patient-privacy-and-hipaa)\n    - [Research News](https:\/\/www.michiganmedicine.org\/news-stories\/press-room\/research-news)\n\n# When chest pain isn’t a heart attack\nA cardiologist shares common causes of chest pain and how they’re treated\n\nFebruary 16, 2023 5:30 PM\n\nAuthor \\| [Noah Fromson](https:\/\/www.michiganmedicine.org\/author\/noah-fromson)\n\n![Woman holding her hand on chest wearing tan sweater](https:\/\/www.michiganmedicine.org\/sites\/default\/files\/styles\/article_main_image\/public\/2023-02\/Woman-Hand-Chest-Pain-Sweater.jpg?h=f0fb51a5&itok=MWnwjmqH)\n\nGetty Images\n\nAside from injuries, the second most common reason adults in the United States go to the emergency department is chest pain, accounting for [more than 6.5 million visits](https:\/\/www.ahajournals.org\/doi\/10.1161\/CIR.0000000000001029) annually. Despite the growing prevalence of cardiovascular disease nationwide, more than half of these chest pain visits have noncardiac causes.\n\nBut chest pain, and the possibility of a heart problem, are not to be taken lightly. There can be several reasons a person experiences it, and the likelihood of a cardiac issue hinges mostly on a patient’s risk profile, says Nicole Bhave, M.D., a cardiologist at the University of Michigan Health Frankel Cardiovascular Center.\n\nHere, Bhave answers several essential questions about noncardiac chest pain, its causes and treatments, and how it differs from heart attack.\n\n### **What most commonly causes noncardiac chest pain?**\n***Bhave:*** We see three main causes of noncardiac chest pain or discomfort. The first is gastroesophageal reflux disease, commonly called GERD. This form of acid reflux causes heartburn. Your body doesn’t always know how to express pain in the stomach or esophagus, so the pain is often “referred” to the center of the chest.\n\nSome people may notice that certain foods trigger it, especially if they are spicy, fatty or acidic. If you eat a really large meal, or if you have alcohol or a lot of caffeine, these can all cause heartburn. That pain will often become worse if you lie down, and it can present as chest pain.\n\nPain can also originate from the muscles and joints in the chest wall. A particularly strenuous workout or heavy lifting can lead to strain of those muscles. Similarly, if you’ve been coughing because of a respiratory illness, that can cause strain on the muscles and cause chest discomfort as well. Some people who have problems with abnormal curvature of the spine may also experience chest discomfort.\n\nFinally, emotional stress or anxiety are very common reasons for people to have chest tightness or discomfort. If you have a panic attack, you may experience a feeling of the heart racing or pounding, often associated with chest tightness or pressure and difficulty breathing.\n\n### **How can you differentiate between noncardiac chest pain and heart attack?**\n***Bhave:*** It can be quite challenging to distinguish, and we often can’t be certain until we do an evaluation, like an electrocardiogram, also known as an EKG, or a blood test.\n\nAs physicians, we are more concerned about chest pain in patients who have risk factors for heart disease, such as high blood pressure, diabetes, kidney disease and being over the age of 60. These conditions all increase risk for coronary artery disease, or blockages in the heart arteries.\n\nIf you have chest pain that’s new and severe, or associated with other symptoms like shortness of breath or nausea, these are reasons that you should go to the emergency department. Classically, heart pain is in the center or left side of the chest, and it may radiate down the left arm or into the jaw. But not every patient experiences the typical “elephant-on-your-chest” feeling. Sometimes, nausea, shortness of breath or feelings of indigestion are the most prominent symptoms. A lot of times when people are having heart attacks, they just feel really unwell, maybe cold and clammy. They know inherently that something is wrong.\n\nOn the other hand, if you are having chest pain that is very brief, lasting only seconds or minutes and going away, without any of these associated symptoms, like the shortness of breath or nausea, it may not be heart-related. The same goes for chest discomfort that gets better with antacids, muscle relaxants, warm compresses, or relaxation and deep breathing.\n\nNot all heart-related chest pain is due to blockages in the heart arteries. A condition called pericarditis, which is inflammation around the lining of the heart, can cause chest pain that gets worse with deep breaths or with lying down. Pulmonary embolism, or a blood clot in the lung, can cause shortness of breath, elevated heart rate and chest pain that gets worse with deep breathing. If you are having chest pain with these kinds of features, you should go to the emergency room.\n\n### **When should you go to the doctor with chest pain?**\n***Bhave:*** This is a difficult question, but it most often boils down to the severity of the pain and the heart attack symptoms we mentioned above. If the pain is so severe that you feel like you can’t function, or if you are experiencing central or left-sided chest pain — especially if you have nausea or a cold and clammy feeling alongside it — it is always safest to go to the emergency room. With chest pain, it’s best to be cautious.\n\n### **How is noncardiac chest pain treated?**\n***Bhave:*** Musculoskeletal pain in the chest wall can usually be treated with conservative measures, like taking ibuprofen, applying warm compresses to the site and resting. Pain related to acid reflux usually gets better with antacids or medications like famotidine (Pepcid) or omeprazole (Prilosec). Changes to your lifestyle can also mitigate this pain. Not eating late at night and minimizing the quantity of the acidic and fatty foods you eat are a good start.\n\nFor noncardiac pain caused by anxiety, depression or another mental health condition, there are several ways to approach treatment. You could talk to your primary care provider about starting an anti-anxiety medication or working with a therapist. The mind-body connection is very powerful, and stress reduction techniques like deep breathing and meditation are often helpful.\n\n*Like Podcasts?Add the* [*Michigan Medicine News Break*](https:\/\/www.amazon.com\/Michigan-Medicine-News-Break\/dp\/B07CS5B9LY\/?sa-no-redirect=1&pldnSite=1) *on* [*Spotify*](https:\/\/open.spotify.com\/show\/2IRtnZMX6cuUAVbUB2QKzk)*,* [*Apple Podcasts*](https:\/\/podcasts.apple.com\/us\/podcast\/michigan-medicine-news-break\/id1390241260) *or anywhere you listen to podcasts.*\n\n***\n## More Articles About:\nChest Pain\n\nEmergency & Trauma Care\n\nUrgent Care\n\nheart attack\n\nCardiovascular: Diseases & Conditions\n\nHeart Attack Risk Factors\n\nCardiovascular: Preventive Cardiology\n\nHeart Attack Prevention\n\n![Health Lab word mark overlaying blue cells](https:\/\/www.michiganmedicine.org\/sites\/default\/files\/styles\/article_sidebar\/public\/2026-03\/HL%20Article%20Tag.jpg?h=0afd8502&itok=VtvrqoOD)\n\n## Health Lab\nExplore a variety of health care news & stories by visiting the Health Lab home page for more articles.\n\n### Media Contact\n![](https:\/\/www.michiganmedicine.org\/sites\/default\/files\/2022-10\/u-hospital-spring_large_1130x635.jpg)\n\n### Public Relations\nDepartment of Communication at Michigan Medicine\n\n[MichmedMedia@med.umich.edu](mailto:MichmedMedia@med.umich.edu)\n\n[734-764-2220](tel:734-764-2220)\n\n## Stay Informed\nWant top health & research news weekly? Sign up for Health Lab’s newsletters today\\!\n\nSubscribe\n\nSubscribe\n\n## Featured News & Stories\n![Members of Eugene Chen's laboratory with a basketball](https:\/\/www.michiganmedicine.org\/sites\/default\/files\/styles\/card\/public\/2026-04\/chen_group_stat_madness_2.jpeg?h=4806a6af&itok=5QYyw9ls)\n\nNews Release\n\n### A night of two national titles for U-M, as scientists and basketball players both triumph\nOn the same night that the U-M men's basketball team triumphed in the NCAA tournament, U-M cardiovascular researchers won a national tournament of science\n\n![](https:\/\/www.michiganmedicine.org\/sites\/default\/files\/styles\/card\/public\/oembed_thumbnails\/IjFZM4FGHzfhN8QyfC5Ntfh3RKJgS87OcvimO7ZXkhg.jpg?h=144d094f&itok=y6BaWQI2)\n\nHealth Lab\n\n### Perimenopause and heart health: What you need to know\nThis article features experts from Michigan Medicine as part of a month-long effort to raise awareness about heart disease and empower people to protect their heart health.\n\n![](https:\/\/www.michiganmedicine.org\/sites\/default\/files\/styles\/card\/public\/blog\/UMH_L_Sepsis%25401x.jpg?h=bfaa3d24&itok=i4Wbz8i1)\n\nHealth Lab\n\n### Surviving sepsis: New guidelines harness life saving evidence for treating adults\nAn updated clinical guideline for treating sepsis in adults emphasizes pre-hospital care and judicious use of antibiotics and antifungals\n\n![drawing of blue car moving on street left and right while being on phone like symbols floating](https:\/\/www.michiganmedicine.org\/sites\/default\/files\/styles\/card\/public\/2026-03\/teen-driver-distracted-phone-road.gif?h=05074998&itok=y22iaznl)\n\nHealth Lab\n\n### 1 in 3 parents fear their teen or young adult could cause a crash\nMotor vehicle crashes remain a leading cause of death for teens and young adults, yet many families may underestimate the risks close to home, suggests a new national poll.\n\n![man standing outside in snow looking at camera ](https:\/\/www.michiganmedicine.org\/sites\/default\/files\/styles\/card\/public\/2026-03\/hunter-truck-trailer-snow-forest.jpg?h=f0fb51a5&itok=fYCeOSZj)\n\nHealth Lab\n\n### For rural firearm owners, Store Safely program offers options to enhance secure firearm storage\nBecause firearm ownership is common across northern Michigan communities, Cynthia Ewell Foster, a University of Michigan clinical Professor of Psychiatry, began piloting a program to encourage secure storage of firearms several years ago in partnership with Sarah Derwin of the Marquette County Health Department.\n\n![On the left is a man in a hospital room, wearing a gown and connected to many wires and machines. 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Advance world health.\n\nCareers at Michigan Medicine\n\nReport Sexual Misconduct, Discrimination and Harassment\n\n## Global Footer Secondary Navigation\n© Copyright 1995-2026 Regents of the University of Michigan\n\nAccessibility Statement\n\nCommunication Preferences\n\nDisclaimer\n\nInternet Privacy\n\nPatient Privacy\n\nU-M Non-Discrimination\n\nDepartment of Communication\n\nHealth Information Technology & Services\n\nMichigan Medicine Finance\n\n[Jump back to top](https:\/\/www.michiganmedicine.org\/health-lab\/when-chest-pain-isnt-heart-attack#main-content)\n\n✓\n\nThanks for sharing\\!\n\n[AddToAny](https:\/\/www.addtoany.com\/ \"Share Buttons\")\n\n[More…](https:\/\/www.michiganmedicine.org\/health-lab\/when-chest-pain-isnt-heart-attack#addtoany \"Show all\")","attrs_readable_markdown":"Aside from injuries, the second most common reason adults in the United States go to the emergency department is chest pain, accounting for [more than 6.5 million visits](https:\/\/www.ahajournals.org\/doi\/10.1161\/CIR.0000000000001029) annually. Despite the growing prevalence of cardiovascular disease nationwide, more than half of these chest pain visits have noncardiac causes.\n\nBut chest pain, and the possibility of a heart problem, are not to be taken lightly. There can be several reasons a person experiences it, and the likelihood of a cardiac issue hinges mostly on a patient’s risk profile, says Nicole Bhave, M.D., a cardiologist at the University of Michigan Health Frankel Cardiovascular Center.\n\nHere, Bhave answers several essential questions about noncardiac chest pain, its causes and treatments, and how it differs from heart attack.\n\n### **What most commonly causes noncardiac chest pain?**\n***Bhave:*** We see three main causes of noncardiac chest pain or discomfort. The first is gastroesophageal reflux disease, commonly called GERD. This form of acid reflux causes heartburn. Your body doesn’t always know how to express pain in the stomach or esophagus, so the pain is often “referred” to the center of the chest.\n\nSome people may notice that certain foods trigger it, especially if they are spicy, fatty or acidic. If you eat a really large meal, or if you have alcohol or a lot of caffeine, these can all cause heartburn. That pain will often become worse if you lie down, and it can present as chest pain.\n\nPain can also originate from the muscles and joints in the chest wall. A particularly strenuous workout or heavy lifting can lead to strain of those muscles. Similarly, if you’ve been coughing because of a respiratory illness, that can cause strain on the muscles and cause chest discomfort as well. Some people who have problems with abnormal curvature of the spine may also experience chest discomfort.\n\nFinally, emotional stress or anxiety are very common reasons for people to have chest tightness or discomfort. If you have a panic attack, you may experience a feeling of the heart racing or pounding, often associated with chest tightness or pressure and difficulty breathing.\n\n### **How can you differentiate between noncardiac chest pain and heart attack?**\n***Bhave:*** It can be quite challenging to distinguish, and we often can’t be certain until we do an evaluation, like an electrocardiogram, also known as an EKG, or a blood test.\n\nAs physicians, we are more concerned about chest pain in patients who have risk factors for heart disease, such as high blood pressure, diabetes, kidney disease and being over the age of 60. These conditions all increase risk for coronary artery disease, or blockages in the heart arteries.\n\nIf you have chest pain that’s new and severe, or associated with other symptoms like shortness of breath or nausea, these are reasons that you should go to the emergency department. Classically, heart pain is in the center or left side of the chest, and it may radiate down the left arm or into the jaw. But not every patient experiences the typical “elephant-on-your-chest” feeling. Sometimes, nausea, shortness of breath or feelings of indigestion are the most prominent symptoms. A lot of times when people are having heart attacks, they just feel really unwell, maybe cold and clammy. They know inherently that something is wrong.\n\nOn the other hand, if you are having chest pain that is very brief, lasting only seconds or minutes and going away, without any of these associated symptoms, like the shortness of breath or nausea, it may not be heart-related. The same goes for chest discomfort that gets better with antacids, muscle relaxants, warm compresses, or relaxation and deep breathing.\n\nNot all heart-related chest pain is due to blockages in the heart arteries. A condition called pericarditis, which is inflammation around the lining of the heart, can cause chest pain that gets worse with deep breaths or with lying down. Pulmonary embolism, or a blood clot in the lung, can cause shortness of breath, elevated heart rate and chest pain that gets worse with deep breathing. If you are having chest pain with these kinds of features, you should go to the emergency room.\n\n### **When should you go to the doctor with chest pain?**\n***Bhave:*** This is a difficult question, but it most often boils down to the severity of the pain and the heart attack symptoms we mentioned above. If the pain is so severe that you feel like you can’t function, or if you are experiencing central or left-sided chest pain — especially if you have nausea or a cold and clammy feeling alongside it — it is always safest to go to the emergency room. With chest pain, it’s best to be cautious.\n\n### **How is noncardiac chest pain treated?**\n***Bhave:*** Musculoskeletal pain in the chest wall can usually be treated with conservative measures, like taking ibuprofen, applying warm compresses to the site and resting. Pain related to acid reflux usually gets better with antacids or medications like famotidine (Pepcid) or omeprazole (Prilosec). Changes to your lifestyle can also mitigate this pain. Not eating late at night and minimizing the quantity of the acidic and fatty foods you eat are a good start.\n\nFor noncardiac pain caused by anxiety, depression or another mental health condition, there are several ways to approach treatment. You could talk to your primary care provider about starting an anti-anxiety medication or working with a therapist. The mind-body connection is very powerful, and stress reduction techniques like deep breathing and meditation are often helpful.\n\n*Like Podcasts?Add the* [*Michigan Medicine News Break*](https:\/\/www.amazon.com\/Michigan-Medicine-News-Break\/dp\/B07CS5B9LY\/?sa-no-redirect=1&pldnSite=1) *on* [*Spotify*](https:\/\/open.spotify.com\/show\/2IRtnZMX6cuUAVbUB2QKzk)*,* [*Apple Podcasts*](https:\/\/podcasts.apple.com\/us\/podcast\/michigan-medicine-news-break\/id1390241260) *or anywhere you listen to podcasts.*","meta_canonical":null}

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Boilerpipe Text	Aside from injuries, the second most common reason adults in the United States go to the emergency department is chest pain, accounting for more than 6.5 million visits annually. Despite the growing prevalence of cardiovascular disease nationwide, more than half of these chest pain visits have noncardiac causes. But chest pain, and the possibility of a heart problem, are not to be taken lightly. There can be several reasons a person experiences it, and the likelihood of a cardiac issue hinges mostly on a patient’s risk profile, says Nicole Bhave, M.D., a cardiologist at the University of Michigan Health Frankel Cardiovascular Center. Here, Bhave answers several essential questions about noncardiac chest pain, its causes and treatments, and how it differs from heart attack. What most commonly causes noncardiac chest pain? Bhave: We see three main causes of noncardiac chest pain or discomfort. The first is gastroesophageal reflux disease, commonly called GERD. This form of acid reflux causes heartburn. Your body doesn’t always know how to express pain in the stomach or esophagus, so the pain is often “referred” to the center of the chest. Some people may notice that certain foods trigger it, especially if they are spicy, fatty or acidic. If you eat a really large meal, or if you have alcohol or a lot of caffeine, these can all cause heartburn. That pain will often become worse if you lie down, and it can present as chest pain. Pain can also originate from the muscles and joints in the chest wall. A particularly strenuous workout or heavy lifting can lead to strain of those muscles. Similarly, if you’ve been coughing because of a respiratory illness, that can cause strain on the muscles and cause chest discomfort as well. Some people who have problems with abnormal curvature of the spine may also experience chest discomfort. Finally, emotional stress or anxiety are very common reasons for people to have chest tightness or discomfort. If you have a panic attack, you may experience a feeling of the heart racing or pounding, often associated with chest tightness or pressure and difficulty breathing. How can you differentiate between noncardiac chest pain and heart attack? Bhave: It can be quite challenging to distinguish, and we often can’t be certain until we do an evaluation, like an electrocardiogram, also known as an EKG, or a blood test. As physicians, we are more concerned about chest pain in patients who have risk factors for heart disease, such as high blood pressure, diabetes, kidney disease and being over the age of 60. These conditions all increase risk for coronary artery disease, or blockages in the heart arteries. If you have chest pain that’s new and severe, or associated with other symptoms like shortness of breath or nausea, these are reasons that you should go to the emergency department. Classically, heart pain is in the center or left side of the chest, and it may radiate down the left arm or into the jaw. But not every patient experiences the typical “elephant-on-your-chest” feeling. Sometimes, nausea, shortness of breath or feelings of indigestion are the most prominent symptoms. A lot of times when people are having heart attacks, they just feel really unwell, maybe cold and clammy. They know inherently that something is wrong. On the other hand, if you are having chest pain that is very brief, lasting only seconds or minutes and going away, without any of these associated symptoms, like the shortness of breath or nausea, it may not be heart-related. The same goes for chest discomfort that gets better with antacids, muscle relaxants, warm compresses, or relaxation and deep breathing. Not all heart-related chest pain is due to blockages in the heart arteries. A condition called pericarditis, which is inflammation around the lining of the heart, can cause chest pain that gets worse with deep breaths or with lying down. Pulmonary embolism, or a blood clot in the lung, can cause shortness of breath, elevated heart rate and chest pain that gets worse with deep breathing. If you are having chest pain with these kinds of features, you should go to the emergency room. When should you go to the doctor with chest pain? Bhave: This is a difficult question, but it most often boils down to the severity of the pain and the heart attack symptoms we mentioned above. If the pain is so severe that you feel like you can’t function, or if you are experiencing central or left-sided chest pain — especially if you have nausea or a cold and clammy feeling alongside it — it is always safest to go to the emergency room. With chest pain, it’s best to be cautious. How is noncardiac chest pain treated? Bhave: Musculoskeletal pain in the chest wall can usually be treated with conservative measures, like taking ibuprofen, applying warm compresses to the site and resting. Pain related to acid reflux usually gets better with antacids or medications like famotidine (Pepcid) or omeprazole (Prilosec). Changes to your lifestyle can also mitigate this pain. Not eating late at night and minimizing the quantity of the acidic and fatty foods you eat are a good start. For noncardiac pain caused by anxiety, depression or another mental health condition, there are several ways to approach treatment. You could talk to your primary care provider about starting an anti-anxiety medication or working with a therapist. The mind-body connection is very powerful, and stress reduction techniques like deep breathing and meditation are often helpful. Like Podcasts? Add the Michigan Medicine News Break on Spotify , Apple Podcasts or anywhere you listen to podcasts.
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[Get Involved](https://www.michiganmedicine.org/community/arts-health/get-involved-arts-health) - [Exhibit or Perform](https://www.michiganmedicine.org/community/arts-health/get-involved/exhibit-or-perform-arts-health) - [Make Art Now](https://www.michiganmedicine.org/community/arts-health/get-involved/make-art-now) - [Volunteer](https://www.michiganmedicine.org/community/arts-health/get-involved/volunteer-arts-health) - [Donate](https://www.michiganmedicine.org/community/arts-health/get-involved/donate-arts-health) - [Programs & Services](https://www.michiganmedicine.org/community/arts-health/arts-programs-and-services) - [Performances & Events](https://www.michiganmedicine.org/community/arts-health/programs-services/performances-and-events) - [Watch a Concert Now](https://www.michiganmedicine.org/community/arts-health/programs-services/performances-events/watch-concert-now) - [Art Exhibits](https://www.michiganmedicine.org/community/arts-health/programs-services/art-exhibits) - [Permanent Art Collection](https://www.michiganmedicine.org/community/arts-health/programs-services/art-exhibits/permanent-art-collection) - [Art Purchase](https://www.michiganmedicine.org/community/arts-health/programs-services/art-exhibits/art-purchase) - [Community Art](https://www.michiganmedicine.org/community/arts-health/programs-services/art-exhibits/community-art) - [Exhibiting Artist Info](https://www.michiganmedicine.org/community/arts-health/programs-services/art-exhibits/how-exhibit) - [Gallery Diagrams & Info](https://www.michiganmedicine.org/community/arts-health/programs-services/art-exhibits/exhibiting-artist-info/gallery-diagrams-and-info) - [Patient Services](https://www.michiganmedicine.org/community/arts-health/programs-services/arts-health-patient-services) - [Art Cart Posters](https://www.michiganmedicine.org/community/arts-health/programs-services/patient-services/art-cart-posters) - [Bedside Art Program](https://www.michiganmedicine.org/community/arts-health/programs-services/patient-services/bedside-art-program) - [Bedside Music Program](https://www.michiganmedicine.org/community/arts-health/programs-services/patient-services/bedside-music-program) - [Bedside Story Studio](https://www.michiganmedicine.org/community/arts-health/programs-services/patient-services/bedside-story-studio) - [Arts Wellness Resources](https://www.michiganmedicine.org/community/arts-health/arts-wellness-resources) - [Art Resources](https://www.michiganmedicine.org/community/arts-health/arts-wellness-resources/art-resources) - [Hospital Arts Projects](https://www.michiganmedicine.org/community/arts-health/arts-wellness-resources/art-resources/hospital-arts-projects) - [Coloring Books](https://www.michiganmedicine.org/community/arts-health/arts-wellness-resources/art-resources/hospital-arts-projects/coloring-books) - [Comfort Legacy Kits](https://www.michiganmedicine.org/community/arts-health/arts-wellness-resources/art-resources/hospital-arts-projects/comfort-legacy-kits) - [Hamsa Hands](https://www.michiganmedicine.org/community/arts-health/arts-wellness-resources/art-resources/hospital-arts-projects/hamsa-hands) - [Music Resources](https://www.michiganmedicine.org/community/arts-health/arts-wellness-resources/music-resources) - [Nature Resources](https://www.michiganmedicine.org/community/arts-health/arts-wellness-resources/nature-resources) - [Life Sciences Orchestra](https://www.michiganmedicine.org/community/arts-health/life-sciences-orchestra) - [About the Life Sciences Orchestra](https://www.michiganmedicine.org/community/arts-health/life-sciences-orchestra/about-life-sciences-orchestra) - [Give to the Life Sciences Orchestra](https://www.michiganmedicine.org/community/arts-health/life-sciences-orchestra/give-life-sciences-orchestra) - [Join the Life Sciences Orchestra](https://www.michiganmedicine.org/community/arts-health/life-sciences-orchestra/join-life-sciences-orchestra) - [Community Health Planning & Investment](https://www.michiganmedicine.org/community/community-health-planning-and-investment) - [About Community Health Planning and Investment](https://www.michiganmedicine.org/community/community-health-planning-investment/about-community-health-planning-and-investment) - [Community Health Investments](https://www.michiganmedicine.org/community/community-health-planning-investment/community-health-investments) - 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[Environmental Sustainability & Carbon Neutrality](https://www.michiganmedicine.org/community/environmental-social-governance/environmental-sustainability-carbon-neutrality) - [Giving](https://www.michiganmedicine.org/giving) - [Areas to Support](https://www.michiganmedicine.org/giving/areas-support) - [Medical School Scholarships](https://www.michiganmedicine.org/giving/areas-support/giving-medical-school-scholarships) - [Rogel Cancer Center](https://www.michiganmedicine.org/giving/areas-support/giving-rogel-cancer-center) - [Forbes Institute for Cancer Discovery](https://www.michiganmedicine.org/giving/areas-support/rogel-cancer-center/giving-forbes-institute-cancer-discovery) - [Rogel and Blondy Center for Pancreatic Cancer](https://www.michiganmedicine.org/giving/areas-support/rogel-cancer-center/giving-rogel-and-blondy-center-pancreatic-cancer) - [Ronald Weiser Center for Prostate Cancer](https://www.michiganmedicine.org/giving/areas-support/rogel-cancer-center/giving-ronald-weiser-center-prostate-cancer) - [Weiser Family Center for Breast Cancer](https://www.michiganmedicine.org/giving/areas-support/rogel-cancer-center/giving-weiser-family-center-breast-cancer) - [A. Alfred Taubman Medical Research Institute](https://www.michiganmedicine.org/giving/areas-support/giving-alfred-taubman-medical-research-institute) - [Alumni Class Giving](https://www.michiganmedicine.org/giving/areas-support/medical-school-alumni-class-giving) - [Anesthesiology](https://www.michiganmedicine.org/giving/areas-support/giving-anesthesiology) - [Biological Chemistry](https://www.michiganmedicine.org/giving/areas-support/giving-biological-chemistry) - [Biomedical Engineering](https://www.michiganmedicine.org/giving/areas-support/giving-biomedical-engineering) - [CSI Singapore-Rogel Cancer Center partnership](https://www.michiganmedicine.org/giving/areas-support/giving-csi-singapore-rogel-cancer-center-partnership) - [Cardiac Surgery](https://www.michiganmedicine.org/giving/areas-support/giving-cardiac-surgery) - [Cell & Developmental Biology](https://www.michiganmedicine.org/giving/areas-support/giving-cell-developmental-biology) - [Chad Carr Pediatric Brain Tumor Center](https://www.michiganmedicine.org/giving/areas-support/giving-chad-carr-pediatric-brain-tumor-center) - [Community Health Services](https://www.michiganmedicine.org/giving/areas-support/community-health-services) - [Adolescent Health Initiative](https://www.michiganmedicine.org/giving/areas-support/community-health-services/adolescent-health-initiative) - [Ann Arbor Meals on Wheels](https://www.michiganmedicine.org/giving/areas-support/community-health-services/ann-arbor-meals-wheels) - [Housing Bureau for Seniors](https://www.michiganmedicine.org/giving/areas-support/community-health-services/housing-bureau-seniors) - [Osher Lifelong Learning Institute (OLLI)](https://www.michiganmedicine.org/giving/areas-support/community-health-services/osher-lifelong-learning-institute) - [Regional Alliance for Healthy Schools](https://www.michiganmedicine.org/giving/areas-support/community-health-services/regional-alliance-healthy-schools) - [Silver Club Memory Programs](https://www.michiganmedicine.org/giving/areas-support/community-health-services/silver-club-memory-programs) - [Turner African American Services Council](https://www.michiganmedicine.org/giving/areas-support/community-health-services/turner-african-american-services-council) - [Turner Senior Wellness Program](https://www.michiganmedicine.org/giving/areas-support/community-health-services/turner-senior-wellness-program) - [Volunteer Services](https://www.michiganmedicine.org/giving/areas-support/community-health-services/volunteer-services) - [Computational Medicine & Bioinformatics](https://www.michiganmedicine.org/giving/areas-support/giving-gilbert-s-omenn-department-computational-medicine-and-bioinformatics) - [Congenital Heart Center](https://www.michiganmedicine.org/giving/areas-support/giving-congenital-heart-center) - [Dermatology](https://www.michiganmedicine.org/giving/areas-support/giving-dermatology) - [Eisenberg Family Depression Center](https://www.michiganmedicine.org/giving/areas-support/giving-eisenberg-family-depression-center) - [Elizabeth Weiser Caswell Diabetes Institute](https://www.michiganmedicine.org/giving/areas-support/giving-caswell-diabetes-institute) - [Emergency Medicine](https://www.michiganmedicine.org/giving/areas-support/giving-emergency-medicine) - [Environmental, Social & Governance](https://www.michiganmedicine.org/giving/areas-support/giving-environmental-social-governance) - [Family Medicine](https://www.michiganmedicine.org/giving/areas-support/giving-family-medicine) - [Fast Forward Medical Innovation](https://www.michiganmedicine.org/giving/areas-support/giving-fast-forward-medical-innovation) - [Frankel Cardiovascular Center (CVC)](https://www.michiganmedicine.org/giving/areas-support/giving-frankel-cardiovascular-center) - [Giving to C.S. Mott Children's Hospital](https://www.michiganmedicine.org/giving/areas-support/giving-cs-mott-childrens-hospital) - [Giving to the Kellogg Eye Center](https://www.michiganmedicine.org/giving/areas-support/kellogg-eye-center) - [Heinz C. 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Despite the growing prevalence of cardiovascular disease nationwide, more than half of these chest pain visits have noncardiac causes. But chest pain, and the possibility of a heart problem, are not to be taken lightly. There can be several reasons a person experiences it, and the likelihood of a cardiac issue hinges mostly on a patient’s risk profile, says Nicole Bhave, M.D., a cardiologist at the University of Michigan Health Frankel Cardiovascular Center. Here, Bhave answers several essential questions about noncardiac chest pain, its causes and treatments, and how it differs from heart attack. ### What most commonly causes noncardiac chest pain? *Bhave:* We see three main causes of noncardiac chest pain or discomfort. The first is gastroesophageal reflux disease, commonly called GERD. This form of acid reflux causes heartburn. Your body doesn’t always know how to express pain in the stomach or esophagus, so the pain is often “referred” to the center of the chest. Some people may notice that certain foods trigger it, especially if they are spicy, fatty or acidic. If you eat a really large meal, or if you have alcohol or a lot of caffeine, these can all cause heartburn. That pain will often become worse if you lie down, and it can present as chest pain. Pain can also originate from the muscles and joints in the chest wall. A particularly strenuous workout or heavy lifting can lead to strain of those muscles. Similarly, if you’ve been coughing because of a respiratory illness, that can cause strain on the muscles and cause chest discomfort as well. Some people who have problems with abnormal curvature of the spine may also experience chest discomfort. Finally, emotional stress or anxiety are very common reasons for people to have chest tightness or discomfort. If you have a panic attack, you may experience a feeling of the heart racing or pounding, often associated with chest tightness or pressure and difficulty breathing. ### How can you differentiate between noncardiac chest pain and heart attack? *Bhave:* It can be quite challenging to distinguish, and we often can’t be certain until we do an evaluation, like an electrocardiogram, also known as an EKG, or a blood test. As physicians, we are more concerned about chest pain in patients who have risk factors for heart disease, such as high blood pressure, diabetes, kidney disease and being over the age of 60. These conditions all increase risk for coronary artery disease, or blockages in the heart arteries. If you have chest pain that’s new and severe, or associated with other symptoms like shortness of breath or nausea, these are reasons that you should go to the emergency department. Classically, heart pain is in the center or left side of the chest, and it may radiate down the left arm or into the jaw. But not every patient experiences the typical “elephant-on-your-chest” feeling. Sometimes, nausea, shortness of breath or feelings of indigestion are the most prominent symptoms. A lot of times when people are having heart attacks, they just feel really unwell, maybe cold and clammy. They know inherently that something is wrong. On the other hand, if you are having chest pain that is very brief, lasting only seconds or minutes and going away, without any of these associated symptoms, like the shortness of breath or nausea, it may not be heart-related. The same goes for chest discomfort that gets better with antacids, muscle relaxants, warm compresses, or relaxation and deep breathing. Not all heart-related chest pain is due to blockages in the heart arteries. A condition called pericarditis, which is inflammation around the lining of the heart, can cause chest pain that gets worse with deep breaths or with lying down. Pulmonary embolism, or a blood clot in the lung, can cause shortness of breath, elevated heart rate and chest pain that gets worse with deep breathing. If you are having chest pain with these kinds of features, you should go to the emergency room. ### When should you go to the doctor with chest pain? *Bhave:* This is a difficult question, but it most often boils down to the severity of the pain and the heart attack symptoms we mentioned above. If the pain is so severe that you feel like you can’t function, or if you are experiencing central or left-sided chest pain — especially if you have nausea or a cold and clammy feeling alongside it — it is always safest to go to the emergency room. With chest pain, it’s best to be cautious. ### How is noncardiac chest pain treated? *Bhave:* Musculoskeletal pain in the chest wall can usually be treated with conservative measures, like taking ibuprofen, applying warm compresses to the site and resting. Pain related to acid reflux usually gets better with antacids or medications like famotidine (Pepcid) or omeprazole (Prilosec). Changes to your lifestyle can also mitigate this pain. Not eating late at night and minimizing the quantity of the acidic and fatty foods you eat are a good start. For noncardiac pain caused by anxiety, depression or another mental health condition, there are several ways to approach treatment. You could talk to your primary care provider about starting an anti-anxiety medication or working with a therapist. The mind-body connection is very powerful, and stress reduction techniques like deep breathing and meditation are often helpful. 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Subscribe Subscribe ## Featured News & Stories ![Members of Eugene Chen's laboratory with a basketball](https://www.michiganmedicine.org/sites/default/files/styles/card/public/2026-04/chen_group_stat_madness_2.jpeg?h=4806a6af&itok=5QYyw9ls) News Release ### A night of two national titles for U-M, as scientists and basketball players both triumph On the same night that the U-M men's basketball team triumphed in the NCAA tournament, U-M cardiovascular researchers won a national tournament of science ![](https://www.michiganmedicine.org/sites/default/files/styles/card/public/oembed_thumbnails/IjFZM4FGHzfhN8QyfC5Ntfh3RKJgS87OcvimO7ZXkhg.jpg?h=144d094f&itok=y6BaWQI2) Health Lab ### Perimenopause and heart health: What you need to know This article features experts from Michigan Medicine as part of a month-long effort to raise awareness about heart disease and empower people to protect their heart health. ![](https://www.michiganmedicine.org/sites/default/files/styles/card/public/blog/UMH_L_Sepsis%25401x.jpg?h=bfaa3d24&itok=i4Wbz8i1) Health Lab ### Surviving sepsis: New guidelines harness life saving evidence for treating adults An updated clinical guideline for treating sepsis in adults emphasizes pre-hospital care and judicious use of antibiotics and antifungals ![drawing of blue car moving on street left and right while being on phone like symbols floating](https://www.michiganmedicine.org/sites/default/files/styles/card/public/2026-03/teen-driver-distracted-phone-road.gif?h=05074998&itok=y22iaznl) Health Lab ### 1 in 3 parents fear their teen or young adult could cause a crash Motor vehicle crashes remain a leading cause of death for teens and young adults, yet many families may underestimate the risks close to home, suggests a new national poll. ![man standing outside in snow looking at camera ](https://www.michiganmedicine.org/sites/default/files/styles/card/public/2026-03/hunter-truck-trailer-snow-forest.jpg?h=f0fb51a5&itok=fYCeOSZj) Health Lab ### For rural firearm owners, Store Safely program offers options to enhance secure firearm storage Because firearm ownership is common across northern Michigan communities, Cynthia Ewell Foster, a University of Michigan clinical Professor of Psychiatry, began piloting a program to encourage secure storage of firearms several years ago in partnership with Sarah Derwin of the Marquette County Health Department. ![On the left is a man in a hospital room, wearing a gown and connected to many wires and machines. On the right, a man in a black and yellow sweatshirt speaks to a young boy who is in a wrestling uniform](https://www.michiganmedicine.org/sites/default/files/styles/card/public/2026-03/man-hospital-gown-wires-coach.jpg?h=f0fb51a5&itok=Mg4m8H-o) Health Lab ### Champion wrestler returns to coaching after heart transplant Born with a genetic condition that can cause a dangerously fast heartbeat, a national-champion-wrestler-turned-coach found received a lifesaving heart transplant. 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Readable Markdown	Aside from injuries, the second most common reason adults in the United States go to the emergency department is chest pain, accounting for [more than 6.5 million visits](https://www.ahajournals.org/doi/10.1161/CIR.0000000000001029) annually. Despite the growing prevalence of cardiovascular disease nationwide, more than half of these chest pain visits have noncardiac causes. But chest pain, and the possibility of a heart problem, are not to be taken lightly. There can be several reasons a person experiences it, and the likelihood of a cardiac issue hinges mostly on a patient’s risk profile, says Nicole Bhave, M.D., a cardiologist at the University of Michigan Health Frankel Cardiovascular Center. Here, Bhave answers several essential questions about noncardiac chest pain, its causes and treatments, and how it differs from heart attack. ### What most commonly causes noncardiac chest pain? *Bhave:* We see three main causes of noncardiac chest pain or discomfort. The first is gastroesophageal reflux disease, commonly called GERD. This form of acid reflux causes heartburn. Your body doesn’t always know how to express pain in the stomach or esophagus, so the pain is often “referred” to the center of the chest. Some people may notice that certain foods trigger it, especially if they are spicy, fatty or acidic. If you eat a really large meal, or if you have alcohol or a lot of caffeine, these can all cause heartburn. That pain will often become worse if you lie down, and it can present as chest pain. Pain can also originate from the muscles and joints in the chest wall. A particularly strenuous workout or heavy lifting can lead to strain of those muscles. Similarly, if you’ve been coughing because of a respiratory illness, that can cause strain on the muscles and cause chest discomfort as well. Some people who have problems with abnormal curvature of the spine may also experience chest discomfort. Finally, emotional stress or anxiety are very common reasons for people to have chest tightness or discomfort. If you have a panic attack, you may experience a feeling of the heart racing or pounding, often associated with chest tightness or pressure and difficulty breathing. ### How can you differentiate between noncardiac chest pain and heart attack? *Bhave:* It can be quite challenging to distinguish, and we often can’t be certain until we do an evaluation, like an electrocardiogram, also known as an EKG, or a blood test. As physicians, we are more concerned about chest pain in patients who have risk factors for heart disease, such as high blood pressure, diabetes, kidney disease and being over the age of 60. These conditions all increase risk for coronary artery disease, or blockages in the heart arteries. If you have chest pain that’s new and severe, or associated with other symptoms like shortness of breath or nausea, these are reasons that you should go to the emergency department. Classically, heart pain is in the center or left side of the chest, and it may radiate down the left arm or into the jaw. But not every patient experiences the typical “elephant-on-your-chest” feeling. Sometimes, nausea, shortness of breath or feelings of indigestion are the most prominent symptoms. A lot of times when people are having heart attacks, they just feel really unwell, maybe cold and clammy. They know inherently that something is wrong. On the other hand, if you are having chest pain that is very brief, lasting only seconds or minutes and going away, without any of these associated symptoms, like the shortness of breath or nausea, it may not be heart-related. The same goes for chest discomfort that gets better with antacids, muscle relaxants, warm compresses, or relaxation and deep breathing. Not all heart-related chest pain is due to blockages in the heart arteries. A condition called pericarditis, which is inflammation around the lining of the heart, can cause chest pain that gets worse with deep breaths or with lying down. Pulmonary embolism, or a blood clot in the lung, can cause shortness of breath, elevated heart rate and chest pain that gets worse with deep breathing. If you are having chest pain with these kinds of features, you should go to the emergency room. ### When should you go to the doctor with chest pain? *Bhave:* This is a difficult question, but it most often boils down to the severity of the pain and the heart attack symptoms we mentioned above. If the pain is so severe that you feel like you can’t function, or if you are experiencing central or left-sided chest pain — especially if you have nausea or a cold and clammy feeling alongside it — it is always safest to go to the emergency room. With chest pain, it’s best to be cautious. ### How is noncardiac chest pain treated? *Bhave:* Musculoskeletal pain in the chest wall can usually be treated with conservative measures, like taking ibuprofen, applying warm compresses to the site and resting. Pain related to acid reflux usually gets better with antacids or medications like famotidine (Pepcid) or omeprazole (Prilosec). Changes to your lifestyle can also mitigate this pain. Not eating late at night and minimizing the quantity of the acidic and fatty foods you eat are a good start. For noncardiac pain caused by anxiety, depression or another mental health condition, there are several ways to approach treatment. You could talk to your primary care provider about starting an anti-anxiety medication or working with a therapist. The mind-body connection is very powerful, and stress reduction techniques like deep breathing and meditation are often helpful. 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