Chest pains are very common with anxiety. Trust me, I am the poster child. ;-) Thank the Lord I have pretty much gotten over it. One important thing to know is that cardiac-related chest pain is not sharp, such as you describe. It's almost certainly muscle tension or a tender muscle. My cardiologist prescribed a beta blocker for my high blood pressure, and said it would help my anxiety too, which it did. For what it's worth, I take Coreg 20mg 2x/day. It has made a big difference for me. You might ask your doc about it. God bless you!