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=== Chest pain === People can experience a wide range of symptoms during their panic attacks; they tend to be very intense and frightening and the common symptoms of difficulty breathing and chest pain can sometimes cause people to believe they are having a heart attack, leading them to go to the emergency department.<ref name=":2" /> Because chest pain and difficulty breathing are commonly symptoms of some sort of heart disease (such as a heart attack), there is medical importance in ruling out life-threatening reasons for their symptoms.<ref name=":5">{{Citation |last1=Ojha |first1=Niranjan |title=Myocardial Infarction |date=2024 |work=StatPearls |url=https://www.ncbi.nlm.nih.gov/books/NBK537076/ |access-date=2024-10-31 |place=Treasure Island (FL) |publisher=StatPearls Publishing |pmid=30725761 |last2=Dhamoon |first2=Amit S.}}</ref> A heart attack (also called a myocardial infarction) occurs when there is a blockage in the arteries going to the heart, causing less blood to get to the heart tissue, and ultimately causing the heart tissue to die.<ref name=":5" /> This will be evaluated in the emergency department with an [[Electrocardiography|electrocardiogram]] (i.e. a picture of the electrical activity of the heart) and by measuring a hormone called troponin, which is released from the heart tissue during times of stress on the tissue.<ref name=":5" /><!-- Comment: Covered in Triggers section Panic attacks can be caused by very common problems such as low blood sugar [[hypoglycemia]], [[hyperthyroidism]], or the overuse of [[caffeine]] or [[nicotine]].{{Fact|date=July 2007}}-->
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