Heart Attacks in Women: How Are They Different Than in Men?

Whether it’s symp­toms, caus­es, or risk fac­tors, heart attacks can look dif­fer­ent in women.

If you think of heart dis­ease as a man’s dis­ease,” you’re not alone. Many women aren’t aware of their risk. But the truth is that heart dis­ease is the num­ber one cause of death among both men and women – and women are more like­ly than men to die from a heart attack.

Men and women don’t always expe­ri­ence heart con­di­tions in the same way or have the same out­comes – espe­cial­ly when it comes to hav­ing a heart attack. There are many rea­sons why this mis­con­cep­tion exists, includ­ing women hav­ing dif­fer­ent symp­toms and being less like­ly to seek help.

Here are sev­en things to know about heart attacks in women, and why they’re not always the same as heart attacks in men. 

1. Symp­toms of Heart Attack Can Look Dif­fer­ent in Women.

Chest pain or dis­com­fort is the main symp­tom for every­one, regard­less of sex. But beyond that, the symp­toms tend to be a bit different.

While men are known to have heavy chest pain, like an ele­phant sit­ting on the chest,” women’s pain might not be as severe. It can feel more like a dull ache or tight­ness in the chest.

And, with or with­out chest pain, women are more like­ly to have symp­toms that aren’t always asso­ci­at­ed with heart attacks. 

Women can also have oth­er symp­toms, like unusu­al fatigue, nau­sea and vom­it­ing, short­ness of breath, or numb­ness in the fingers.

Read more on Duly Health and Care: Is It a Heart Attack or Indigestion?

2. The Risk of a Silent” Heart Attack May Be High­er in Women.

A silent heart attack is one that typ­i­cal­ly goes undi­ag­nosed as a heart attack for weeks or even months. This type of heart attack caus­es symp­toms that peo­ple don’t rec­og­nize as ones of a heart attack, like indi­ges­tion or feel­ing like you strained a mus­cle in your upper back, or it may not cause any symp­toms at all.

While a silent heart attack isn’t always painful – or even notice­able – it is still very seri­ous. It can severe­ly dam­age your heart, but you might not get the care you need because you don’t real­ize you need help.

Some stud­ies vary, but many researchers agree that silent heart attacks are more com­mon in women. Your risk might be even greater if you have diabetes. 

Tak­ing charge of your heart health today can help pre­vent seri­ous issues in the future. Sched­ule an appoint­ment with a South Bend Clin­ic car­di­ol­o­gist to dis­cuss your risk fac­tors and make lifestyle adjust­ments for a health­i­er heart.

Also read: Redis­cov­er­ing Your Rhythm

3. Heart Attacks May Hap­pen for Dif­fer­ent Rea­sons in Women.

There aren’t just dif­fer­ences in how women expe­ri­ence heart attacks – there are also dif­fer­ences in why they have them and what’s hap­pen­ing in their bodies.

One of the major dif­fer­ences is coro­nary artery dis­ease (CAD). CAD can block blood flow to parts of your heart mus­cle, lead­ing to a heart attack. It is the main cause of heart attack, but it’s not the only one. Women are more like­ly than men to have heart attacks due to oth­er heart and blood ves­sel con­di­tions. This is called a myocar­dial infarc­tion with non-obstruc­tive coro­nary artery (MINOCA).

Addi­tion­al­ly, there are cer­tain risk fac­tors for heart attacks that affect women dif­fer­ent­ly. High blood pres­sure, high cho­les­terol, high blood sug­ar, obe­si­ty, stress, and smok­ing can all increase the risk for heart attack – but they’re known to increase the risk even more in women. 

4. Women Are Less Like­ly to Seek Help.

It’s just as impor­tant for women to get help for a heart attack as it is for men, but some women don’t. If they don’t have the less com­mon signs of a heart attack, women may chalk their symp­toms up to stress or anx­i­ety, or down­play their symp­toms. They may also be more like­ly than men to delay going to the hospital.

Unfor­tu­nate­ly, this can have dev­as­tat­ing con­se­quences and has result­ed in women hav­ing a high­er risk of devel­op­ing seri­ous health prob­lems after a heart attack. Wait­ing too long to get treat­ment, or not get­ting help at all, can make a heart attack even more dangerous. 

Also read: When Should I See a Cardiologist?

5. Both Women and Men Need to Get Help for a Heart Attack Immediately.

Sex and spe­cif­ic symp­toms don’t mat­ter when some­one is hav­ing a heart attack. If you or some­one you’re with have sud­den severe chest pain, unex­plained chest pain that doesn’t go away after a few min­utes, or symp­toms that could point to a heart attack, call 9−1−1 imme­di­ate­ly. Do not dri­ve your­self to the hos­pi­tal, unless you have no oth­er option.

6. Heart Attacks Are Increas­ing in Young Women.

Heart attacks are more like­ly as you get old­er, and women may be more like­ly than men to have them at an old­er age. But that doesn’t mean that young women are in the clear.

Recent research has found that the rate of heart attacks in old­er adults has been decreas­ing, while the rate in peo­ple ages 35 to 54 has seen an increase. This increase is espe­cial­ly notice­able in women. 

Researchers aren’t entire­ly cer­tain why this is, but it may be because peo­ple are start­ing to have risk fac­tors for heart attack, like high blood pres­sure or dia­betes, at a younger age.

7. For Both Women and Men, Pre­ven­tion Is Key.

Whether it’s to pre­vent or treat a heart attack, pay­ing atten­tion to your heart health is vital. Make sure you’re famil­iar with the signs and symp­toms, includ­ing some of the less­er-known ones, and always get help if you sus­pect a problem.

Adopt­ing a heart-healthy diet, get­ting plen­ty of phys­i­cal activ­i­ty, and avoid­ing smok­ing are all great ways to reduce your risk for a heart attack – but they aren’t always enough. Talk to your provider about your risk fac­tors so you can come up with an indi­vid­u­al­ized plan to keep your heart healthy and strong. 

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