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Knowing the Signs of a Heart Attack Can Save a Life

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February is heart month, which means it’s a great time to brush up on the signs and symptoms of a heart attack. It could save someone’s life – or even your own.

Provided By The Iowa Clinic

Despite what is depicted in the movies, the signs of most heart attacks aren’t always obvious. “I think it’s a common misconception that a heart attack always looks like someone clutching their heart and collapsing,” says Iowa Clinic cardiologist, Luke Groben, DO. “In fact, one in five heart attacks is silent, meaning it happens without showing any signs. We often see people ignoring the signs of a heart attack because it doesn’t look like the stereotypical heart attack, so educating yourself on the more silent warning signs is especially important.”

Heart attacks can happen slowly or suddenly and in varying degrees of intensity. Most of them actually start slowly with mild symptoms that gradually worsen. Everyone experiences symptoms differently but there are five warning signs that both men and women commonly experience. If you can spot them early, you can limit the damage from the heart attack.

1. Chest Pain or Discomfort

Chest pain is the most common sign of heart problems. It’s close to your heart, so it’s the clearest sign, too. You don’t always feel pain. It might feel like uncomfortable pressure, fullness, squeezing, tightness, burning or tingling. The feeling typically lasts longer than a few minutes.

2. Arm and Shoulder Pain or Discomfort

The pain in your heart and chest can quickly travel elsewhere, most commonly to the arms and shoulders. Men most often feel pain in their left arm but you can have symptoms on either side of the body.

3. Shortness of Breath

Pressure and pain in your chest will likely make it harder to breathe. But during a heart attack, you can have shortness of breath without ever feeling any level of chest discomfort. If your heart is struggling to pump blood, it’s not delivering oxygen to the lungs, causing your breathing problems.

4. Weakness or Lightheadedness

The lack of oxygen doesn’t just affect your lungs. You can quickly feel faint, unsteady, lightheaded or weak. When your heart is not pumping as it should, your blood pressure drops suddenly, causing this feeling.

5. Jaw, Neck and Back Pain or Discomfort

After the arms and shoulders, the rest of your upper body is the likeliest destination for the pain to travel. As a lone symptom, pain in the jaw, neck or back is probably something else. But if you experienced some pain or mild discomfort in the chest, arms or shoulders first, it’s a sign you’ve been having a heart attack that whole time.

Another important thing to note is that men and women are different when it comes to both the age range they’re at risk, as well as the symptoms. Men hit heart attack age earlier than women. A man’s risk for heart attack increases significantly after the age of 45, five years earlier than women.

Nausea, vomiting, heart palpitations and stomach discomfort are symptoms outside the top five that men and women may experience. But the similarities stop there.

According to Groben, “Generally speaking, men are much more likely to show the most common symptoms and experience them suddenly and with more severity, while the heart attack signs for women are more subtle.” Men can experience cold sweats, dizziness or a feeling that they’re going to pass out. Women are at a much higher risk to have a silent heart attack and be unaware that it’s happening or confuse it with something else.

Studies have shown that women who have had a heart attack often did not experience chest pain — the most telling sign of a heart problem. Instead, women have a set of symptoms that come on slowly and progress gradually, including:

  • Unusual fatigue
  • Sleep disturbance
  • Flu-like discomfort
  • Paleness or clammy skin
  • Inability to sleep

Unlike men, whose symptoms typically come in a matter of minutes, women may experience symptoms for as long as a month before a heart attack occurs. That’s why it’s so important for them to recognize these less intense symptoms and talk to a doctor right away.

“If you suspect you or someone you are showing the signs of a heart attack, you should call 9-1-1 right away,” advises Groben. The faster you can get help, the better. “Without oxygen, your heart and other organs will die. So it’s essential that everyone understands the warning signs and the differences in symptoms between genders.”

If you see any signs of a heart attack — sudden or slow, subtle or intense — get emergency medical help right away. Catching a heart attack early is your best shot saving a life.

It might even be your own.

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