Causes of heart Attack in Women: Symptoms & Signs
The classic symptoms of heart attack include a feeling of extreme pressure on the chest and including a squeezing or full sensation. This can be accompanied by pain in one or both arms, jaw, back, stomach, or neck.
Other symptoms of heart attack include shortness of breath, nausea, vomiting, lightheadedness, and a sweating feeling, often described as breaking out in a cold sweat.
Although chest pain and pressure are the characteristic symptoms, women are somewhat more likely than men to experience heart attack that does not occur in this typical fashion.
Instead, some women with heart attacks may experience more of the other symptoms, like lightheadedness, nausea, extreme fatigue, fainting, dizziness, or pressure in the upper back. Because of the absence of typical symptoms associated with heart attacks in men, many women who have heart attacks think the symptoms are due to another condition, like the flu or gastroesophageal reflux.
What is heart disease?
Heart disease in women 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:
• Shortness of breath (feeling like you can’t get enough air)
• Swelling in feet, ankles, and legs
• Extreme tiredness
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 breathe, call 911 right away.
Heart Attack Signs and Symptoms
Although chest pain or pressure is the most common symptom of a heart attack, heart attack victims may experience a variety of symptoms including:
• Pain, fullness, and/or squeezing sensation of the chest
• Jaw pain, toothache, headache
• Shortness of breath
• Nausea, vomiting, and/or general epigastric (upper middle abdomen) discomfort
• Heartburn and/or indigestion
• Arm pain (more commonly the left arm, but may be either arm)
• Upper back pain
• General malaise (vague feeling of illness)
• No symptoms (Approximately one quarter of all heart attacks are silent, without chest pain or new symptoms.
Silent heart attacks are especially common among patients with diabetes mellitus.)
Do women need to worry about heart disease?
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.
What can I do to prevent heart disease?
You can reduce your chances of getting heart disease by taking these steps:
Know your blood pressure. Years of high blood pressure can lead to heart disease. People with high blood pressure often have no symptoms, so have your blood pressure checked every 1 to 2 years and get treatment if you need it.
Don’t smoke. If you smoke, try to quit. If you’re having trouble quitting, there are products and programs that can help:
• Nicotine patches and gums
• Support groups
• Programs to help you stop smoking
Ask your doctor or nurse for help to provide information and therapies to help quit smoking.
Get tested for diabetes. People with diabetes have high blood glucose (often called blood sugar). People with high blood glucose often have no symptoms, so have your blood glucose checked regularly. Having diabetes raises your chances of getting heart disease. If you have diabetes, your doctor will decide if you need diabetes pills or insulin shots. Your doctor can also help you make a healthy eating and exercise plan.
Get your cholesterol and triglyceride levels tested. High blood cholesterol (koh-LESS-tur-ol) can clog your arteries and keep your heart from getting the blood it needs. This can cause a heart attack. Triglycerides (treye-GLIH-suh-ryds) are a form of fat in your blood stream.
High levels of triglycerides are linked to heart disease in some people. People with high blood cholesterol or high blood triglycerides often have no symptoms, so have both levels checked regularly. If your levels are high, talk to your doctor about what you can do to lower them.
You may be able to lower your both levels by eating better and exercising more. Your doctor may prescribe medication to help lower your cholesterol.
Maintain a healthy weight. Being overweight raises your risk for heart disease. Calculate your Body Mass Index (BMI) to see if you are at a healthy weight. Healthy food choices and physical activity are important to staying at a healthy weight:
• Start by adding more fruits, vegetables, and whole grains to your diet.
• Each week, aim to get at least 2 hours and 30 minutes of moderate physical activity, 1 hour and 15 minutes of vigorous physical activity, or a combination of moderate and vigorous activity.
If you drink alcohol, limit it to no more than one drink (one 12 ounce beer, one 5 ounce glass of wine, or one 1.5 ounce shot of hard liquor) a day.
Find healthy ways to cope with stress. Lower your stress level by talking to your friends, exercising, or writing in a journal.
Take action to reduce heart disease risk:
1. Be physically active
2. Don’t smoke
3. Eat healthy
4. Maintain a normal weight
5. Know your numbers (blood pressure, cholesterol, and triglycerides)