--- title: "Angina vs. Heart Attack | Sutter Health" description: "Recently I was having pressure in my chest and pain in my neck and arms. I thought I was having a heart attack. The ER doctor said I have angina. How is angina different from a heart attack?" url: "/ask-an-expert/answers/angina-vs-heart-attack-1051061177" --- 1. Home / 2. Angina vs. Heart Attack # Angina vs. Heart Attack * * * Medically reviewed by - Gary F. Milechman, M.D. ## Question Recently I was having pressure in my chest and pain in my neck and arms. I thought I was having a heart attack. The ER doctor said I have angina. How is angina different from a heart attack? ## Answer Angina (also called angina pectoris) is defined as: “a condition marked by severe pain in the chest, often also spreading to the shoulders, arms, and neck, owing to an inadequate blood supply to the heart.” A heart attack occurs when this same process lasts long enough to cause permanent damage to the heart muscle. This is similar to the difference between a TIA (transient ischemic attack), where the blood supply to the brain is compromised and there is transient neurologic dysfunction, as compared to a stroke, where part of the brain is irreversibly damaged. The most common cause of angina and a heart attack is from cholesterol build up (plaques) leading to narrowing of the blood vessels that bring blood to the heart muscle. Sometimes these plaques grow slowly, and sometimes the plaque tears or ruptures, and a blood clot forms, acutely narrowing the artery partially (angina) or completely (heart attack or myocardial infarction). There are rare instances where the cause of angina or a heart attack is not from cholesterol build-up but from spasm of the artery, or an embolus to the coronary artery, or a heart valve problem, or a failure of the microvasculature to dilate appropriately when the heart muscle is working hard and needs more oxygen. The important thing is to recognize the symptoms of angina or a heart attack and get the proper treatment. The classic symptom is a central chest pressure that may radiate to the neck or left arm, and is associated with shortness of breath. However, symptoms are quite variable between people and may present as stomach discomfort, jaw pain, left or right shoulder pain, or just shortness of breath and a vague uncomfortable feeling. Any similar symptom that is predictably brought on by exertion, and resolves with rest, is worrisome for angina. Any similar symptom that continues for more that 10-15 minutes unabated is worrisome for a heart attack in progress and you should call 911 and get to the nearest hospital. It is important to have your angina thoroughly evaluated. There are several reasons for this. We have to determine if there is a dangerous problem that should be fixed BEFORE a heart attack occurs. If it is not a dangerous problem, we need to get you on the right medicines and lifestyle changes to mitigate your symptoms and prevent progression of the plaques that you do have. With the doctor and the patient both working together, we can even get the plaques to regress, or get smaller over time. ## Explore related topics Heart healthHeart Disease ## Meet our care team Gary F. Milechman, M.D. Interventional Cardiology Cardiovascular Disease ## Related questions View all questions - Health Q&A ### Chest Pain Causes I'm having chest pains, but all my tests related to the heart have come up clear. What could be the causing this pain? - Health Q&A ### Coronary Blockage Treatment Options If you have been diagnosed with a coronary blockage, what treatment options are available? - Health Q&A ### Heart Disease Symptoms in Men and Women Are symptoms of coronary artery disease the same in women and men? - Health Q&A ### Heredity and Heart Disease A number of my relatives have heart disease so I've been told by my doctor to watch what I eat, exercise, etc. My question is: why does one's heredity put a person at extra risk for heart disease? - Health Q&A ### Mitral Valve Prolapse: How Often to Recheck? I'm a healthy female (34) with mitral valve prolapse and mild/trace regurgitation. What are the recommendations on checking this condition? I'm told it's a benign condition but my cardiologist checks on it biannually. View all questions ```json {"@context":"https://schema.org","@type":"MedicalOrganization","name":"Sutter Health","@id":"https://www.sutterhealth.org/#medicalorganization","url":"https://www.sutterhealth.org","logo":"https://www.sutterhealth.org/static/images/sutter-health-logo.svg","address":{"@type":"PostalAddress","streetAddress":"2200 River Plaza Drive","addressLocality":"Sacramento","addressRegion":"CA","postalCode":"95833","addressCountry":"US"},"areaServed":{"@type":"AdministrativeArea","name":"California"},"sameAs":["https://www.facebook.com/SutterHealth","https://www.instagram.com/sutterhealth/","https://x.com/SutterHealth","https://www.youtube.com/sutterhealth","https://www.linkedin.com/company/sutter-health","https://en.wikipedia.org/wiki/Sutter_Health"]} ``` ```json {"@context":"https://schema.org","@type":"BreadcrumbList","@id":"https://www.sutterhealth.org/ask-an-expert/answers/angina-vs-heart-attack-1051061177#breadcrumblist","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https://www.sutterhealth.org/"},{"@type":"ListItem","position":2,"name":"Angina vs. Heart Attack"}]} ``` ```json {"@context":"https://schema.org","@type":"MedicalWebPage","@id":"https://www.sutterhealth.org/ask-an-expert/answers/angina-vs-heart-attack-1051061177#medicalwebpage","url":"https://www.sutterhealth.org/ask-an-expert/answers/angina-vs-heart-attack-1051061177","name":"Angina vs. Heart Attack","description":"Angina (also called angina pectoris) is defined as: “a condition marked by severe pain in the chest, often also spreading to the shoulders, arms, and neck, owing to an inadequate blood supply to the heart.”","inLanguage":"en-US","medicalAudience":{"@type":"MedicalAudience","audienceType":"Patient"},"isPartOf":{"@id":"https://www.sutterhealth.org/ask-an-expert/answers"},"breadcrumb":{"@id":"https://www.sutterhealth.org/ask-an-expert/answers/angina-vs-heart-attack-1051061177#breadcrumblist"},"mainEntity":{"@type":"Question","@id":"https://www.sutterhealth.org/ask-an-expert/answers/angina-vs-heart-attack-1051061177#question","name":"Angina vs. Heart Attack","text":"Recently I was having pressure in my chest and pain in my neck and arms. 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Sometimes these plaques grow slowly, and sometimes the plaque tears or ruptures, and a blood clot forms, acutely narrowing the artery partially (angina) or completely (heart attack or myocardial infarction). There are rare instances where the cause of angina or a heart attack is not from cholesterol build-up but from spasm of the artery, or an embolus to the coronary artery, or a heart valve problem, or a failure of the microvasculature to dilate appropriately when the heart muscle is working hard and needs more oxygen. The important thing is to recognize the symptoms of angina or a heart attack and get the proper treatment. The classic symptom is a central chest pressure that may radiate to the neck or left arm, and is associated with shortness of breath. However, symptoms are quite variable between people and may present as stomach discomfort, jaw pain, left or right shoulder pain, or just shortness of breath and a vague uncomfortable feeling. Any similar symptom that is predictably brought on by exertion, and resolves with rest, is worrisome for angina. Any similar symptom that continues for more that 10-15 minutes unabated is worrisome for a heart attack in progress and you should call 911 and get to the nearest hospital. It is important to have your angina thoroughly evaluated. There are several reasons for this. We have to determine if there is a dangerous problem that should be fixed BEFORE a heart attack occurs. If it is not a dangerous problem, we need to get you on the right medicines and lifestyle changes to mitigate your symptoms and prevent progression of the plaques that you do have. With the doctor and the patient both working together, we can even get the plaques to regress, or get smaller over time.","url":"https://www.sutterhealth.org/ask-an-expert/answers/angina-vs-heart-attack-1051061177","author":{"@id":"https://www.sutterhealth.org/ask-an-expert/answers/angina-vs-heart-attack-1051061177#expert"}}},"publisher":{"@id":"https://www.sutterhealth.org/#medicalorganization"},"reviewedBy":{"@id":"https://www.sutterhealth.org/ask-an-expert/answers/angina-vs-heart-attack-1051061177#expert"}} ``` ```json {"@context":"https://schema.org","@type":"Person","@id":"https://www.sutterhealth.org/ask-an-expert/answers/angina-vs-heart-attack-1051061177#expert","name":"Gary F. Milechman","honorificSuffix":"M.D."} ```