I don't really think it's easy to say which pains are not associated with the Heart unless I am experiencing them at the time. So many pains are believed by experts not to be heart originated by experts and are thus misdiagnosed. Due to misdiagnosis of a Stomach disorder, maybe ulcer, I was on gaviscon for a year. I continually had warning signs of chest pains and throat discomfort for all that period of time until finally having a heart attack which shocked everyone. ECGs were revealing nothing wrong, Echocardiograms were showing a perfect heart and blood tests were revealing no abnormalities.
During my heart attack(s) (several over 2 days) I honestly believed it must have been chronic indigestion. Symptoms....
Sweating, tight cramp in lower area of rib cage which felt like stomach pain, but severe.
Nausea, vomitting, shortness of breath.
Finally on the last episode I could stand it no longer and went to A&E by car. You can imaging my shock when blood tests revealed high Troponin. Still ECGs were looking normal.
Main reason for attacks, blocked Circumflex.
So there are no rules which you can use apart from go to A&E if you feel any chest area pains, to be on the safe side. So many people die because they believe they are having stomach pains and don't bother phoning an ambulance.
OK, here's what I have;
Typical angina pain:
Is precipitated on exertion
Becomes worse as the exertion continues
Is felt across a wide area in the middle of the chest (not in the cardiac apex), is tight and constrictive in nature and makes the patient to slow down or stop the physical activity
May be transmitted to the neck, jaw, arms, epigastric region, or back
May become worse in cold weather, after a heavy meal, or during static work
Is relieved in a few minutes by rest or glyceryl trinitrate
However, only about half of all patients have a typical presentation of the symptoms.
Atypical angina
Is more common in female patients
Is felt as dyspnoea or fatigue and exhaustion on exertion
May have a burning character
The patient's history of pain is more reliable for diagnosis in men than in women aged less than 50 years. The probability of CHD in males over 55 with typical symptoms is 90%.
Atypical Chest Pain Not Suggestive of Coronary Heart Disease (CHD):
Appears also at rest
Exercise tolerance is good despite pain
Continues for hours or days
Is associated with breathing or chest wall movements
Is sharp in character
Is displaced laterally towards the apex
May be felt on palpation
Is experienced as palpitations or occasional ectopic beats
Is felt in the upper abdominal region or below the left costal arch
Is not relieved with glyceryl trinitrate within a few minutes
Hope it helps,
Jon