Heart Attacks In Women: Spot the Signs Before It’s Too Late
Apr 21, 2025
•4 min read
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When you think of a heart attack, you might imagine a dramatic Bollywood scene with a man clutching his chest and collapsing. However, heart attacks aren’t the same for everyone, and the reality is far less obvious for women in particular. Heart attack symptoms in women can be sneaky, often mimicking signs of minor illnesses or plain exhaustion, so you could easily miss them. To help you prevent such mistakes, let’s take a closer look at some of the early signs of a heart attack in females.
Why do heart attack symptoms in women differ?
Women are physiologically different from men, and these differences go beyond physical appearances. Though heart attacks are often considered a 'men’s problem,' they are highly prevalent in women too. The differences in the symptoms are mainly because women have smaller blood vessels and heart chambers, fewer red blood cells, and are more likely to have blood pressure drops when changing positions. Hormones like oestrogen and progesterone also affect heart health, making their symptoms different from men’s.
How do women experience heart attacks differently?
Heart attack symptoms in women can often feel more like an annoying nuisance than a life-threatening emergency. Forget the classic sharp chest pain you might expect; women may experience discomfort or a sensation that can feel like indigestion or a mild ache. Early signs of a heart attack in females can be subtle, so it’s important to listen to your body closely.
A few symptoms to watch out for include:
The risk across ages: Even women under 25
According to studies, women who smoke, especially those aged 18-49, are over 13 times more likely to experience a heart attack than non-smokers. Additional risk factors like high blood pressure, diabetes, and a family history of heart disease can further increase the chances of a heart attack, even in women under 25. Therefore, it's important to pay attention to these signs as early recognition can make all the difference.
Classic signs of a heart attack in women
While heart attack symptoms in women may not always be the same as symptoms experienced by men, there are still some tell-tale signs you shouldn’t ignore. These include:
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Chest pain: Chest pain in women isn’t always sharp or excruciating, but if you feel any pressure, squeezing, or heaviness in your chest that won’t go away, it’s time to take action. As this could be one of the early signs of a heart attack in females, it’s advisable not to ignore it.
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Radiating pain: Constant chest pain that radiates to the shoulders, arms, neck, jaw, or back is one of the unusual heart attack symptoms in women. So, if you're feeling pain or discomfort in these areas along with chest discomfort, don’t brush it off.
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Shortness of breath: When an unhealthy heart struggles to pump blood, the body can't get the oxygen it needs. As a result, you might feel breathless after mild exertion (or even while resting). This could be one of the major symptoms of heart disease in women.
Unusual heart attack symptoms in women
A few signs of a heart attack in women can be sneaky, making them tough to spot. Here’s what to keep an eye on:
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Nausea: Constantly feeling nauseous is one of the subtle heart attack symptoms. It might feel like a stomach bug, but it could be a sign of heart trouble. As heart attack symptoms in women under 25 can be tricky to spot, staying alert to your body’s signals is crucial.
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Fatigue: While it’s normal to feel tired after a busy day, unexplained or extreme fatigue that comes on suddenly can be an early sign of a heart attack in females.
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Indigestion: Unusual heart attack symptoms in women can feel like an upset stomach or heartburn. This can be tricky to diagnose, as it’s often mistaken for something harmless, like overeating spicy food.
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Dizziness or lightheadedness: If you’re feeling unusually dizzy, lightheaded, or like you might faint, it’s time to pay attention, as it can be one of the symptoms of heart disease in women.
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Sweating: Unexplained cold sweats can be identified as unusual heart attack symptoms in women. This isn’t your typical "I’m hot and need to cool down" kind of sweat; it’s persistent and often sudden.
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Back Pain: That nagging upper back pain between your shoulder blades could be your heart crying for help. Unlike muscle strain, cardiac-related back pain often feels like an elephant sitting on your upper spine - constant pressure that won't ease with stretching. This happens because pain in the heart radiates along nerve pathways to the back.
These warning signs should never be ignored if they persist, worsen over time, or occur with chest discomfort, as they may indicate an urgent heart issue.
What to do if you notice these symptoms?
If you notice any of these symptoms, whether mild or severe, don’t just wait around to see if they pass. Heart attack symptoms in women can be quite different and more unusual than those experienced by men. So, without any delay, consult your healthcare provider, because when it comes to heart health, time is of the essence.
Frequently asked questions
1. Can a heart attack occur without chest pain in women?
It’s possible for women to experience heart attacks without chest pain. Instead, they may have symptoms like shortness of breath, dizziness, nausea, or pain in areas like the back, jaw, or arms.
2. Are there any warning signs of a heart attack that women should watch for?
In women, warning signs of a heart attack may include chest discomfort, shortness of breath, fatigue, nausea, dizziness, or pain in the neck, back, or shoulders. If any of these persist, seek medical attention immediately.
3. Are heart attack symptoms in women always sudden?
Symptoms of a heart attack in women vary. It may develop gradually over time or occur suddenly. Some women may experience warning signs for days or even weeks before a heart attack, such as fatigue and discomfort in the chest or upper body.
4. How can one lower their risk of heart attacks?
The risk of a heart attack can be lowered by adopting a heart-healthy lifestyle, which includes eating a balanced diet, exercising regularly, managing stress, avoiding smoking and maintaining a healthy weight.
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