If you think you or someone you are with is having a heart attack call 911 immediately. Heart attacks are a life-threatening emergency. Usually, a hiatal hernia and its symptoms are not life-threatening.Heart attacks are caused by a buildup of plaque in the arteries, which results in a coronary artery becoming blocked, while heartburn is a symptom of another digestive problem that causes stomach acid to back up or reflux into the esophagus.A hiatal hernia can mimic heart attack symptoms, but they are not related.
GERD ( gastroesophageal reflux disease). 
Hiatal hernia symptoms and signs that are different from a heart attack include:. A woman having a heart attack also may also have symptoms and signs like extreme weakness and fatigue. Other signs and symptoms of a heart attack may include:. Heart attack symptoms and signs that are different hiatal hernias include shortness of breath and chest pain (which may feel like a tightness, fullness, pressure, or ache), profuse sweating, and nausea. However, when symptoms do occur, they both cause chest pain that may radiate to the arm, back, and neck. Many people having a heart attack or those who have a hiatal hernia have no symptoms. A hiatal hernia is a digestive (gastroesophageal, GI) tract condition in which part of the stomach pushes up through the diaphragm into the chest cavity. The clot stops oxygen delivery to the muscle beyond the clot, which causes that portion of the heart muscle to die. Heart attack occurs when a blood clot partially or completely blocks a blood vessel in the heart.
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