02/26/2026
Chest pain can feel scary. Sometimes it is caused by something simple, like a strained muscle after lifting, exercising, or even coughing. Other times, it may be related to the heart. Knowing a few general differences can help, but chest pain should always be taken seriously.
Muscle-related chest pain is often sharp and in one specific spot. It may get worse when you move, twist, take a deep breath, or press on the area. It often improves with rest.
Heart-related chest pain is more often described as pressure, squeezing, heaviness, or tightness. It may spread to the arm, jaw, neck, or back. It can also happen along with shortness of breath, nausea, sweating, or feeling lightheaded. Heart-related pain can vary in intensity and may not always feel severe.
Symptoms do not always follow a clear pattern. If chest pain is new, getting worse, lasting more than a few minutes, or happens with trouble breathing, fainting, or strong pressure, seek emergency care right away. When it comes to your heart, it is always safer to be checked.