heartache

The story

1. Old English · inherited fromheorteċe
2. Middle English · inherited fromheorteece
3. English todayheartache

From Middle English heorteece, heorte-ece, from Old English heorteċe, equivalent to heart + ache. Blends both literal and figurative aspects, as emotional distress sometimes includes a physical element of chest discomfort. Compare heartbreak § Etymology, where the literal aspect is lesser, though it still can be said to have a physiological basis.