When you have a/p your blood pressure rises which in turn causes your heart to beat faster and work harder which causes the pain in your chest. (Short version) This is what most medical doctors think causes the pain during anxiety. I also think some people create the pain because not all anxiety sufferers experience the chest pain. The first time you get chest pain you think heart attack which causes a fear of having a heart attack everytime you get an axiety attack, for some the heart can become an obsession (I never worry about
cancer/losing my mind etc) when thats all you fear I think the mind can target that spot and cause the pain and mimic your worst fear. It is said typically that most men worry about
heart attacks while women worry about
going "crazy". I can cause myself to have a panic attack (full blown) if I even hear about
someone having a heart attack under the age of 65. While working I have to put my anxiety on the back burner but everytime I work with a heart situation I will freak out when I get home. The mind is either a wondeful tool or your worst enemy.
"The measure of a man's real character is what he would do if he knew he would never be found out." Thomas B. Macaulay