What are the signs of heart attack in a woman?

By Jayne Leonard, Last reviewed by Gerhard Whitworth, RN, Tue 17 April 2018, Published in Medical News Today

I have written about this before, but many still are not aware of the signs or choose to ignore the signs. A 2012 study found that 35% of women ignored the warnings and did not seek help. This article is another clear and concise description of the signs. 

A study published in 2003 of 515 women who had experienced a heart attack, reports 80 percent of women had at least 1 symptom at least 4 weeks before their heart attack.  Symptoms may be constant or come and go, and they may also disrupt sleep.

It is vital for a woman who experiences any of these symptoms to seek help immediately, as heart attacks can be fatal, regardless of whether symptoms are mild or severe. Eight of the symptoms of a possible heart attack are:

1. Chest pain

The most common symptom of heart attack in both males and females is chest pain or discomfort.

It may be described as:

·       tightness

·       pressure

·       squeezing

·       aching

However, women can experience a heart attack without having any chest discomfort.

Some 29.7 percent of the women surveyed in the 2003 study experienced chest discomfort in the weeks before the attack. Also, 57 percent had chest pain during the heart attack.

2. Extreme or unusual fatigue

Unusual fatigue is often reported in the weeks leading up to a heart attack. Fatigue is also experienced just before the event occurs.

Even simple activities that do not require much exertion can lead to feelings of being exhausted.

3. Weakness

Feeling weak or shaky is a common acute symptom of a heart attack in a female. This weakness or shaking may be accompanied by:

·       anxiety

·       dizziness

·       fainting

·       feeling lightheaded

4. Shortness of breath

Shortness of breath or heavy breathing without exertion, especially when accompanied by fatigue or chest pain, may suggest heart problems.

Some women may feel short of breath when lying down, with the symptom easing when they are sitting upright.

5. Sweating

Excessive sweating without a normal cause is another common heart attack symptom in women.

Feeling cold and clammy can also be an indicator of heart problems.

6. Upper body pain

This is usually non-specific and cannot be attributed to a particular muscle or joint in the upper body. Areas that can be affected include:

·       neck

·       jaw

·       upper back or either arm

The pain can start in one area and gradually spread to others, or it may come on suddenly.

7. Sleep disturbances

Difficulty getting to sleep and unusual waking may be issues before a heart attack.

Almost half of women in the 2003 study reported issues with sleep in the weeks before they had a heart attack. These disturbances may involve:

·       difficulty getting to sleep

·       unusual waking throughout the night

·       feeling tired despite getting enough sleep

8. Stomach problems

Some women may feel pain or pressure in the stomach before a heart attack. Other digestive issues associated with a possible heart attack can include:

·       indigestion

·       nausea

·       vomiting

Heart attack post-menopause

The risk of heart attack increases due to falling estrogen levels after menopause. Post-menopause heart attack symptoms include:

·         pain or discomfort in the arms, back, neck, jaw, or stomach

·         rapid or irregular heartbeat

·         severe chest pain

·         sweating without activity

Risk factors

Risk factors for a heart attack in women include:

·         Age: Those aged 55 years or older are at greater risk of heart attack. This may be because hormones provide some protection from heart disease before menopause.

·         Family history: Those with a male relative who had a heart attack by the age of 55 years old, or a female relative who has had one by 65 years of age, are considered to have a family history of heart attack and are at increased risk.

·         Health status: Certain markers, such as high blood pressure and high-cholesterol, increases the risk of heart attack in both males and females.

·         Medical conditions: Those with conditions, including diabetes, obesity, and autoimmune disorders are more likely to have a heart attack. Diseases such as endometriosis, PCOS, or a history of preeclampsia during pregnancy also increase risk.

·         Lifestyle choices: Using tobacco or stimulant drugs, for example, cocaine or amphetamines, a sedentary lifestyle, or high levels of stress will all increase the risk of heart attack.

Larger waist, hips may raise women's heart attack risk

A larger waist and hips may increase the risk of heart attack in women. Learn more about why this is thought to be the case here.

When to see a doctor

The British Heart Foundation recommend all women over 40 years of age have regular checks with their doctor. This helps identify risk factors early so that they can be treated. Early intervention reduces the chances of a cardiac event. Anyone who notices the warning signs of a heart attack, such as the following, should see a doctor immediately:

·         unusual fatigue

·         shortness of breath

·         upper body pain

A doctor will note symptoms, check blood pressure and heart rate, and may order blood tests or use an electrocardiogram (EKG) to see the heart's electrical activity.

When to call emergency services

Anyone who suspects symptoms of a heart attack should call emergency services immediately.

Only 65 percent of women would call emergency services if they suspected they were having a heart attack, according to a 2012 survey.

Emergency treatment can save lives. Anyone noticing the following symptoms should call an ambulance immediately, especially if the signs are present for 5 minutes or more:

·         chest pain or discomfort

·         pain in the upper body, including arms, back, neck, jaw, or shoulder

·         difficulty breathing

·         dizziness

·         extreme weakness

·         indigestion or heartburn

·         nausea

·         rapid or irregular heartbeat

·         shortness of breath

·         sweating

·         unexplained anxiety

·         vomiting

Prevention

Tips for better heart health include:

·         Going for regular health check-ups with your doctor.

·         Taking steps to manage other health conditions, including high blood pressure, high cholesterol, and diabetes.

·         Quitting smoking and avoiding tobacco in any form. Heart disease risk reduces by 50 percent just 12 months after someone quits smoking.

·         Not using illegal drugs, especially stimulants, such as cocaine and amphetamines.

·         Losing weight if overweight.

·         Engaging in at least 30 minutes of aerobic activity, such as walking, every day.

·         Eating a balanced diet and visiting a dietician if necessary for dietary advice.

Takeaway

A heart attack is a serious and potentially fatal medical event that requires emergency treatment. Women tend to display different heart attack symptoms than men. They also have additional risk factors.

There are many steps women can take to reduce their risk of a heart attack. An awareness of the symptoms of heart attack, especially in the weeks before the event, can also improve outcomes and prevent complications.

Happy Canada Day

Happy Canada Day to all who live in this wonderful country. There are always issue that can separate us, but we still are lucky to live where we live. The issues are important, but we have the ability to sit down and talk about our differences in a civil and respectful way.  

The sun this morning rose over Newfoundland and will set over BC tonight. The colours over the Maritimes were especially impressive. The Great Lakes caught the sun at just the right time. A few Manitobans up early enough even wondered if Summer was still holding the fort.

Ontario woke up to a new reality and many of them are shaking their heads wondering what happened, but they know common sense will prevail

The happy children in Saskatchewan said to say, "Hi!" The oil workers in Alberta said, "Thanks for the laugh!" The realtor in Quebec asked, "Are you sure about the farmer's market?" The dancer in PEI whispered, "Don't tell a soul..." And the sage in BC said, "You have exactly what it takes to travel!" The Northern Lights danced and played over the Yukon, Nunavut and the North West Territories as the north welcomed summer.

Tell me do you have any recollection of all your other-worldly to-ings and fro-ings, yet? Or are we still pretending we are not in one of the greatest countries in the world?

If you only knew...

What makes the difference?

Neither worthiness, work, craft, ability, expertise, timing, relationships, appearances, reputation, family, perspiration, or tears will make the difference.

More than anything else, living in prosperity and affluence is simply a matter of knowing that you already do.

Medical Expenses after retirement, are you prepared?

Data from the Health and Retirement Study (HRS) finds out-of-pocket health care expenses are typically miscalculated. This study (pdf file) estimates how much retirees spend on out-of-pocket health care expenses after age 70 until their death. Unlike many other studies, it includes only expenses for health care services actually used (i.e., Medicare and insurance premiums are not included), and it is based on self-reported expenses of actual retirees and not on projections for hypothetical individuals. The numbers are adjusted for medical inflation and reported in 2015 dollars.

The self-reported expenses are from panel data from the Asset and Health Dynamics Among the Oldest Old (AHEAD) cohort of the Health and Retirement Study (HRS). Here are the key findings:

·  For the majority of surveyed people, out-of-pocket health care expenses are not as high as commonly believed. For those who die at age 95 or later, the median cumulative out-of-pocket expense after age 70 until death is slightly above $27,000.

·  But these expenses are catastrophic for some. Again, for those who die at age 95 or later, the 90th and 95th percentiles are nearly $172,000 and just over $269,000, respectively. In other words, the distribution of cumulative out-of-pocket medical expenses is skewed toward those with higher expenses.

·  Nursing home expenses are one of the biggest contributors driving the skewness of the distribution. Without out-of-pocket nursing home expenses, the 90th and 95th percentiles for those who die at age 95 or later drops to nearly $96,000 and $154,000, respectively.

·  For all surveyed people, the median out-of-pocket nursing home expense is zero. But just like the distribution of total out-of-pocket health care expenses, the distribution of nursing home expenses is also skewed toward those with higher expenses, which means a small percentage of retirees face very high expenses.

·  For those who die at age 95 or later, the 90th and 95th percentiles of nursing home expenses are slightly over $87,000 and $175,000, respectively.

·  When the sample is restricted to include only those who enter a nursing home, the 90th and 95th percentiles go up to nearly $182,000 and $266,000, respectively.

·  There are significant differences between men and women.

·  Women are significantly more likely to enter a nursing home after the age of 70 (38 percent of men vs. 51 percent of women).