Do you also feel a burning sensation in your chest? Do you think it is heartburn? Or it might be caused by reduced blood flow to your heart (angina) or an actual heart attack. The symptoms of a heart attack, angina, and heartburn might be extremely similar. Even skilled medical professionals can struggle to distinguish between a physical exam and your medical history. Because of this, if you visit the emergency hospital due to chest pain, you will undergo tests right away to rule out a heart attack. So, how do you distinguish between the two conditions?