One of the most common presentations for heart attack that turns out to not be heart attack is reflux. If it happens after a meal, and especially if it is relieved by antacid, it is unlikely to be a heart attack.
But then again, it could very well be.
Which is why you will never find a doctor who will say 'it's ok' from the history alone. They need a workup anyway... If there are no ECG or biochemical markers of heart attack and it responds to antacid in the emergency department then we can prescribe its use ongoing.
The other one that every medical student gets that convinced them that they are having a heart attack is muscular or rib pain, like which you describe. People present to hospital with it all the time but we usually quickly exclude it as a heart attack.
But then again, it could very well be. Which is why you will never find a doctor who will say 'it's ok' from the history alone. They need a workup anyway... If there are no ECG or biochemical markers of heart attack and it responds to antacid in the emergency department then we can prescribe its use ongoing.
The other one that every medical student gets that convinced them that they are having a heart attack is muscular or rib pain, like which you describe. People present to hospital with it all the time but we usually quickly exclude it as a heart attack.
If you're concerned, always present.