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Chest Pain, Acute. Severe, sudden chest pain can represent a life-threatening problem. Follow this chart for more information. Our trusted Symptom Checker is written and reviewed by physicians and patient education professionals. Find a possible diagnosis by choosing a symptom and answering a few simple questions.
Heart or blood vessel problems that can cause chest pain: 1  Angina or a heart attack.  A tear in the wall of the aorta, the large blood vessel that takes blood from the heart to the rest of the body (aortic dissection) causes sudden, severe pain in the chest and upper back.