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“The most common symptom of a heart attack for women is chest pain or pressure,” explains Dr. Anderson. “But 40% of women having a heart attack will not experience chest pain.
For example, heart attack symptoms in women can look different from heart attack symptoms in men. The Office on Women’s Health notes that women are more likely than men to have the following ...
"I've heard women say, 'I feel like I have to take my bra off (because) it's just too tight.'" ... Heart attack symptoms in women can include: Chest pain, discomfort, heaviness, tightness or ...
Among women who experience a heart attack, many do not have any prior chest pain. [19] Due to alterations in sensory pathways, diabetic and elderly individuals also may present without any chest pain and may have atypical symptoms similar to those seen in women. [8] This type of ischemia is also known as silent ischemia. [21] [22] [23] [24]
About 30% of people have atypical symptoms. [8] Women more often present without chest pain and instead have neck pain, arm pain or feel tired. [11] Among those over 75 years old, about 5% have had an MI with little or no history of symptoms. [12] An MI may cause heart failure, an irregular heartbeat, cardiogenic shock or cardiac arrest. [3] [4]
The most common symptom is centrally located pressure-like chest pain, often radiating to the left shoulder [2] or angle of the jaw, and associated with nausea and sweating. Many people with acute coronary syndromes present with symptoms other than chest pain, particularly women, older people, and people with diabetes mellitus. [3]
Symptoms include chest pain or angina, shortness of breath, and fatigue. [6]A completely blocked coronary artery will cause a heart attack. [6] Common heart attack symptoms include chest pain or angina, pain or discomfort that spreads to the shoulder, arm, back, neck jaw, teeth or the upper belly, cold sweats, fatigue, heartburn, nausea, shortness of breath, or lightheadedness.
Given the demographics of SCAD, it is important to maintain a high index of suspicion for the condition in otherwise low-risk women presenting with symptoms of acute coronary syndrome. Initial evaluation may show ECG changes of ST elevation, like heart attacks due to other causes. SCAD comprises 2-4% of all cases of acute coronary syndrome.