[44M] Experiencing sharp, episodic chest pain and extreme fatigue

What might be happening

Based on the information you provided, the most likely causes of your symptoms include:

• Angina: This is chest pain or discomfort caused when your heart muscle doesn't get enough oxygen-rich blood. It may feel like pressure or squeezing in your chest. The discomfort can also occur in your shoulders, arms, neck, jaw, or back. Angina pain may even feel like indigestion. However, the pain is usually short-lived, lasting only a few minutes.
  • Treatment usually involves medication to decrease the heart's workload and improve blood flow, lifestyle changes, and sometimes procedures to improve blood flow to the heart muscle.
• Heart attack: A heart attack occurs when the blood flow that brings oxygen to the heart muscle is severely reduced or cut off completely. This happens because the coronary arteries that supply the heart with blood can slowly become thicker and harder from a buildup of fat, cholesterol, and other substances. The interrupted blood flow can damage or destroy part of the heart muscle.
  • Treatment involves restoring blood flow to the heart muscle by way of medication or a procedure like angioplasty.
• Panic attack: A panic attack is a sudden episode of intense fear that triggers severe physical reactions when there is no real danger or apparent cause. Panic attacks can be very frightening. When panic attacks occur, you might think you're losing control, having a heart attack, or even dying.
  • Treatment often involves psychotherapy, medication, or both.

What you can do

Given the severity of your symptoms, it's crucial that you seek immediate medical attention. Chest pain can be a sign of a serious heart condition, such as a heart attack, which requires urgent medical treatment.

What you should look out for

If you experience any of the following symptoms, it's important to seek emergency medical help immediately:

• Pain that spreads to the arm, neck, jaw, back, or stomach area (abdomen)
• Chest pain accompanied by nausea, vomiting, profuse sweating, difficulty breathing, or a fainting sensation
• Rapid or irregular heartbeats

Remember, I'm an AI and this advice is based on the information you've provided. It's important to consult with a healthcare professional who can evaluate your symptoms and condition more thoroughly.