I have been diagnosed with having panic attacks before by doctors at the emergency room at the hospital on more than one occasion.
Also, I am a 33 year old male who is overweight with a BMI of 47.15, so I do fear for my heart. (I have been working for the last 2 months on lowering that).
The pain I experience in my chest I would not describe as crushing, although it does last for longer than 10 minutes, I have a weird sensation in my right arm (as opposed to my left as happens in heart attack patients), I do get extremely anxious, nauseous withouit vomiting, and I feel like I am about to break out into a sweat at any moment.
Usually I feel if I survive a couple hours than it is a panic attack. I've been getting them more and more regularly.
I do worry more about my weight since I am getting older. This panic sets in most nights, and usually I don't want to go to bed because of it. I should be there right now, as it's 2:30am, but instead I am typing this to get my mind off my physical symptoms (which isn't really working). These symptoms almost always come on while I am trying to go to sleep.
I spend most of my days feeling like I am just waiting for "tonight's the night the chest pain is real" and need to really go to the hospital.
So based on the symptoms I've described, how do I know when it is "the night" and I do need to go to the hospital? I'm pretty certain what I am feeling now is a panic attack and not a heart attack, but how will I know for sure?