Usually the symptoms of chest pain, pressure, or heaviness that recur years after a heart attack will be very similar to the symptoms that were present at the time of the heart attack although likely not as severe. Chest pain that are related to the heart - angina - that occur years later usually start out with exertion, described as a pressure, heaviness, or tightness on the left side of the chest and are relieved by rest or sublingual nitroglycerin, however this is not always the case. If the symptoms are worsening, even if not quite similar to the prior chest discomfort, they should not be ignored. The non cardiac reasons of chest discomfort are multiple and not the scope of the cardiologist and in most cases should be evaluated by your primary care doctor. To lessen the chances of further heart problems including another heart attack or procedure related to worsening heart blockages, one must strictly adhere to modification of lifestyle by exercising 30-60 minutes daily and following a nutritious low fat, low cholesterol diet on a daily basis.