Chest Pain and Tightness
Chest pain, tightness, pressure, or discomfort can be alarming and should never be ignored. Some causes may be mild or temporary, while others may require urgent medical attention. Understanding the root cause is essential for proper diagnosis and timely treatment.

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What is Chest Pain or Tightness?
Chest pain or tightness refers to any discomfort, pressure, or heaviness felt in the chest area. The symptoms can range from mild and occasional to sudden and severe. In some cases, pain in the chest may be linked to muscle strain, acid reflux, or anxiety. However, it can also be a warning sign of an underlying heart problem such as angina, coronary artery disease, irregular heart rhythms, or even a heart attack.
What Causes Chest Pain/Tightness?
Chest pain or tightness can occur for several reasons, ranging from mild digestive issues to serious heart conditions. The type, severity, and frequency of symptoms often help identify the underlying cause. Common causes include:
Acid Reflux/GERD
Acid reflux occurs when stomach acid flows back into the food pipe, causing irritation, burning sensations, or chest pain and discomfort. The condition is commonly known as heartburn.
Indigestion
Indigestion can cause bloating, discomfort, or a feeling of pressure in the chest, particularly after eating.
Anxiety or Panic Attacks
Stress and anxiety can trigger symptoms such as a rapid heartbeat, dizziness, sweating, trembling, and chest tightness. In some cases, panic attacks can closely mimic heart-related chest pain.
Chest Infection
Chest infections may cause chest pain when breathing or coughing and are often accompanied by fever, congestion, or shortness of breath.
Protracted Coughing
Persistent coughing can strain the chest muscles, leading to musculoskeletal chest pain or pressure.
Serious Heart Condition
In some cases, chest pain may indicate an underlying heart condition such as angina, pericarditis, or a heart attack. Persistent or sudden chest pain should always be thoroughly evaluated by a cardiac specialist.
How Do We Identify the Cause of Chest Pain?
When you visit us with chest pain, our experienced cardiology team carries out a thorough assessment to identify the underlying cause. It includes a physical examination, a review of your medical and family history, and a detailed evaluation of your symptoms.
If your symptoms suggest a possible heart condition, you may be advised to undergo urgent cardiac investigations such as a chest X-ray, ECG, echocardiogram, or CT scan, depending on the severity of your condition. In some cases, your cardiologist may also recommend coronary angiography (cardiac catheterisation) for a more detailed assessment of your heart and blood vessels.
When to See a Specialist Urgently?
Chest pain or pressure accompanied by breathlessness, dizziness, sweating, nausea, or pain spreading to the arm, shoulder, jaw, neck, or back may require urgent medical evaluation. Urgent medical attention can play a vital role in preventing serious complications.
Chest Pain Care and Treatment
Once our cardiologists review your test results, you will be provided with a personalised treatment plan based on the underlying cause of your symptoms. It may include lifestyle changes, medications, or cardiac procedures where needed. Follow-up appointments may also be arranged to monitor your condition and assess the effectiveness of your treatment.
Why Choose The National Heart Clinic?
Our patients receive exceptional cardiac care from London’s top heart specialists. We combine advanced diagnostics, personalised treatment, and compassionate care to optimise your cardiovascular wellness. At The National Heart Clinic, you can expect:
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