Pain felt directly over the heart, sometimes called precordial pain, can vary in sensation from a dull ache to a sharp, stabbing feeling. It's important to describe its exact nature, duration, and any accompanying symptoms to a healthcare provider. Doctors will often ask if the pain is constant or comes and goes, what makes it better or worse, and if you experience shortness of breath, dizziness, or palpitations. Keeping a detailed record of when the pain occurs, its characteristics, and any related activities can be very helpful for evaluation. Seek urgent care immediately for new, severe, or worsening chest pain, especially if it radiates, or is accompanied by sweating, nausea, vomiting, or difficulty breathing. Share your experiences with pain over the heart.