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Heart attack symptoms in women: Unveiling the unexpected



When we envision a heart attack, the image that often comes to mind is a person clutching their chest or experiencing numbness in their left arm. However, it’s essential to challenge these preconceived notions as heart problems are not limited to men alone.

Heart disease poses a significant threat to women, with one in five women succumbing to its devastating effects. Older women, in particular, face heightened vulnerability. Understanding the atypical symptoms of heart attacks in women is crucial to ensure early detection and prevention, ultimately saving lives.

Dispelling the Myths: For years, heart disease was erroneously regarded as primarily affecting men. However, research has shattered this misconception, revealing that women are equally susceptible to heart-related complications. The National Institute of Health (NIH) reports that women tend to experience heart attacks at older ages compared to men.

Menopause plays a significant role in this shift, as the decline in estrogen levels increases the risk factors associated with heart disease, such as abdominal fat deposition, high blood pressure, and arterial blockages.

The Underdiagnosis Dilemma: Misdiagnosis and under-treatment of heart disease in women are critical factors contributing to the alarmingly higher mortality rate compared to all combined cancers.

Cardiologist Dr. Suzanne Steinbaum emphasizes the urgent need to assess postmenopausal women with risk factors for evidence of arterial plaque. By identifying and addressing these risk factors promptly, healthcare providers can prevent the progression of heart disease and mitigate potential life-threatening complications.

Atypical Symptoms: Unique Warning Signs for Women: Unlike the classic symptoms associated with heart attacks, such as chest pain, women often experience subtler and more vague indicators. Recognizing these atypical warning signs is paramount in preventing the onset of a heart attack.

  1. Extreme Fatigue: One of the most commonly reported heart attack symptoms among women is extreme and unexplained fatigue. The heart, under tremendous stress due to blocked arteries, struggles to pump blood effectively.

    In a NIH study, 70 percent of women reported experiencing overwhelming fatigue in the months leading up to a heart attack. This fatigue is debilitating and significantly impacts daily activities, forcing individuals to rest even while performing simple tasks like making a bed.

  2. Sleep Disturbance: Trouble sleeping at night may serve as an early warning sign of high blood pressure, a major risk factor for heart attacks. While blood pressure typically decreases during sleep, individuals with disturbed sleep patterns experience sustained elevated blood pressure.

    A recent study in Clinical Cardiology found that insomnia and inadequate sleep duration (less than 5 hours) are associated with an increased risk of a heart attack in subsequent years. Waking up with a rapid heart rate and heightened blood pressure puts added strain on the heart.

  3. Back, Neck, or Jaw Pain: Unlike men, women experiencing a heart attack are more likely to feel intense pressure or squeezing sensations in areas other than the chest.

    Upper back, neck, jaw, and shoulder blade pain may signal a heart attack in women.

    Dr. Radha Kachhy, a cardiologist, advises taking such symptoms seriously, especially if they occur during exertion. Women have reported experiencing shoulder pain while walking or even at rest, indicating a need for prompt medical attention.

  4. Indigestion: Heart failure can lead to abdominal swelling, mimicking symptoms of indigestion. Nearly 40 percent of women report indigestion as a precursor to a cardiac event.

    Additional symptoms such as nausea, lack of appetite, and vomiting may accompany indigestion. Cardiogenic vomiting, caused by dying heart cells releasing toxins that stimulate the vomiting reflex, requires immediate medical evaluation.

  5. Flu-like Symptoms: Unusual flu-like symptoms, including chills, sweating, and light-headedness, should not be disregarded, as they could indicate an impending heart attack in women. Julia Allen, who experienced a heart attack at the age of 44, initially mistook her symptoms for influenza.

    She described an immediate and extreme sense of flu symptoms, including fatigue, weakness, dizziness, and nausea. Liz Johnson, another survivor, shared how her flu-like symptoms interfered with her daily activities and eventually led her to the emergency room, where she was diagnosed with a heart attack. These flu-like symptoms are particularly common in cases of spontaneous coronary artery dissection (SCAD), a tear in the artery wall that blocks blood flow and damages the heart muscle.

    While SCAD can occur at any age, it is more prevalent among women between the ages of 30 and 50.

  1. Anxiety: Anxiety disorders affect a significant portion of the population, but when accompanied by other physical symptoms and feelings of impending doom, they can signal a heart attack in women. The NIH study revealed that 35 percent of women reported feelings of anxiety during a heart attack, with intensity increasing over time. Unlike a panic attack, the anxiety associated with a heart attack does not dissipate easily. Heightened anxiety should be taken seriously and evaluated alongside other potential symptoms.

Empowering Women with Knowledge: It is crucial for women to be aware of these atypical symptoms and advocate for their own health. Recognizing the warning signs and seeking medical attention promptly can be life-saving. Additionally, healthcare providers play a crucial role in educating women about the unique symptoms of heart attacks and ensuring that their concerns are addressed seriously.

Prevention and Early Intervention: While heart disease poses a significant threat to women, it is also one of the most preventable conditions. Adopting a heart-healthy lifestyle can greatly reduce the risk of heart attacks. Regular exercise, a balanced diet, stress management, and regular check-ups with healthcare providers are key preventive measures. Additionally, women should be proactive in discussing their risk factors and concerns with their healthcare providers to develop personalized prevention strategies.

Heart attacks in women may not always present with the stereotypical symptoms commonly associated with men. It is vital to understand and recognize the atypical warning signs to ensure timely intervention and prevent unnecessary fatalities. By dispelling myths, raising awareness, and empowering women to prioritize their heart health, we can strive towards a future where heart disease no longer disproportionately affects women.

Remember, early detection and intervention are crucial in saving lives and preserving the well-being of women around the world.

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