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December 19, 2011
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Heart Attacks in Women

Heart Attack Symptoms in Women

What Are the Heart Attack Symptoms and Signs in Women?

A lot of people think that women do not get heart disease. More women die from heart disease than from anything else. Any woman can get heart disease.

When you think about heart disease, you probably think about chest pain. Women might not have chest pain. If they do, they might call it an achy, tight or "heavy" feeling instead of pain. The pain might even be in the back between the shoulder blades, instead of the chest.

Women might think these signs are no big deal because they don't "sound" like a heart attack. Don't ignore these signs. Go to your doctor of clinic right away.

What are the signs and symptoms of heart disease in women?

The most important sign is feeling really tired - even if after enough sleep. Other signs of heart disease in women are:

  • Trouble breathing

  • Trouble sleeping

  • Feeling sick to the stomach

  • Feeling scared or nervous

  • New or worse headaches

  • An ache in the chest

Read the rest of the symptoms and signs of heart attacks in women »

One woman's heart attack story

Heart Attacks in Women Kill

In 1991, I went to the ER with chest pains twice in one week. They said it was ulcers (bleeding in the stomach). Then the pain became very intense. Again, the ER said there was nothing they could do. I refused to leave and was admitted for observation. Later, the doctor on duty saw my EKG and asked, "Where's the 34-year-old who had the massive heart attack?" I had emergency surgery. But the damage was done; only part of my heart muscle functions. I had to quit a job I loved, and my life is completely changed. They thought I was too young to have a heart attack.

What is heart disease?

Heart disease includes a number of problems affecting the heart and the blood vessels in the heart. Types of heart disease include:

Coronary artery disease (CAD) is the most common type and is the leading cause of heart attacks. When you have CAD, your arteries become hard and narrow. Blood has a hard time getting to the heart, so the heart does not get all the blood it needs. CAD can lead to:

  • Angina (an-JEYE-nuh). Angina is chest pain or discomfort that happens when the heart does not get enough blood. It may feel like a pressing or squeezing pain, often in the chest, but sometimes the pain is in the shoulders, arms, neck, jaw, or back. It can also feel like indigestion (upset stomach). Angina is not a heart attack, but having angina means you are more likely to have a heart attack.

  • Heart attack. A heart attack occurs when an artery is severely or completely blocked, and the heart does not get the blood it needs for more than 20 minutes.

Heart failure occurs when the heart is not able to pump blood through the body as well as it should. This means that other organs, which normally get blood from the heart, do not get enough blood. It does not mean that the heart stops. Signs of heart failure include:

Heart arrhythmias (uh-RITH-mee-uhz) are changes in the beat of the heart. Most people have felt dizzy, faint, out of breath or had chest pains at one time. These changes in heartbeat are harmless for most people. As you get older, you are more likely to have arrhythmias. Don't panic if you have a few flutters or if your heart races once in a while. If you have flutters and other symptoms such as dizziness or shortness of breath, call 911 right away.

Do women need to worry about heart disease?

Yes. Among all U.S. women who die each year, one in four dies of heart disease. In 2004, nearly 60 percent more women died of cardiovascular disease (both heart disease and stroke) than from all cancers combined. The older a woman gets, the more likely she is to get heart disease. But women of all ages should be concerned about heart disease. All women should take steps to prevent heart disease.

Both men and women have heart attacks, but more women who have heart attacks die from them. Treatments can limit heart damage but they must be given as soon as possible after a heart attack starts. Ideally, treatment should start within one hour of the first symptoms.

If you think you're having a heart attack, call 911 right away. Tell the operator your symptoms and that you think you're having a heart attack.

Do women of color need to worry about heart disease?

Yes. African American and Hispanic American/Latina women should be concerned about getting heart disease because they tend to have more risk factors than white women. These risk factors include obesity, lack of physical activity, high blood pressure, and diabetes. If you're a woman of color, take steps to reduce your risk factors.




MedicineNet Doctors

Suggested Reading on Heart Attacks in Women by Our Doctors

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Symptom Checker: Your Guide to Symptoms & Signs: Pinpoint Your Pain



Heart Attacks in Women

Heart disease and stress introduction

Are stress and heart disease related? Does stress increase the risk of heart disease? Stress is a normal part of life. But if left unmanaged, stress can lead to emotional, psychological, and even physical problems, including heart disease, high blood pressure, chest pains, or irregular heart beats.

How Does Stress Increase the Risk for Heart Disease?

Medical researchers aren't sure exactly how stress increases the risk of heart disease. Stress itself might be a risk factor, or it could be that high levels of stress make other risk factors (such as high cholesterol or high blood pressure) worse. For example, if you are under stress, your blood pressure goes up, you may overeat, you may exercise less, and you may be more likely to smoke.

If stress itself is a risk factor for heart disease, it could be because chronic stress exposes your body to unhealthy, persistently elevated levels of stre...

Read the Stress and Heart Disease article »







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