Women's heart health

Heart Health in Women

Heart Attack Symptoms

Women are up to two times more likely to die of a heart attack than men.1 Women are not “small men” and there are important differences that impact women’s heart health and management - including differences in heart attack symptoms.2

This is why it’s so important to raise awareness about the differences in symptoms, and if you feel something, say something.

Women's Heart Attack Symptoms

Compared to men, women are more likely to have heart attack symptoms unrelated to chest pain,3 such as:

  • Neck, jaw, shoulder, upper back or upper belly (abdomen) discomfort
  • Shortness of breath
  • Pain in one or both arms
  • Nausea or vomiting
  • Sweating
  • Feeling lightheaded or dizzy
  • Heartburn (indigestion)

Lack of awareness of heart attack symptoms is so problematic that in one study, more than half of women who were having a heart attack did not perceive their symptoms as being heart-related, and more than 20% thought their symptoms were related to stress or anxiety.4 The same study also showed that clinicians can miss these symptoms as well. Among the women who had been evaluated for similar symptoms prior to the heart attack, more than half were told by their provider that the pain was not heart related.

Learn more about the differences in symptoms.

Learn more about medical gaslighting.

Footnotes
  1. Shah T, Haimi I, Yang Y, Gaston S, Taoutel R, Mehta S, Lee HJ, Zambahari R, Baumbach A, Henry TD, Grines CL, Lansk A, Tirziu D. Meta-Analysis of Gender Disparities in In-hospital Care and Outcomes in Patients with ST-Segment Elevation Myocardial Infarction. Am J Cardiol. 2021;147:23-32. https://doi.org/10.1016/j.amjcard.2021.02.015. Accessed March 21, 2023.
  2. (1) Heart Attack: Men vs. Women. The Heart Foundation Web site. https://theheartfoundation.org/2017/03/29/heart-attack-men-vs-women/. Published March 29, 2017. Accessed December 13, 2022. (2) Lichtman JH, Leifheit EC, Safdar B, Bao H, Krumholz HM, Lorenze NP, Daneshvar M, Spertus JA, D’Onofrio G. Sex Differences in the Presentation and Perception of Symptoms Among Young Patients With Myocardial Infarction: Evidence from the VIRGO Study (Variation in Recovery: Role of Gender on Outcomes of Young AMI Patients). Circulation. 2018;137:781–790. https://doi.org/10.1161/CIRCULATIONAHA.117.031650. Accessed March 21, 2023.
  3. Heart attack symptoms. Office on Women’s health Web Site. https://www.womenshealth.gov/heart-disease-and-stroke/heart-disease/heart-attack-and-women/heart-attack-symptoms. Accessed March 21, 2023.
  4. Lichtman JH, Leifheit EC, Safdar B, Bao H, Krumholz HM, Lorenze NP, Daneshvar M, Spertus JA, D’Onofrio G. Sex Differences in the Presentation and Perception of Symptoms Among Young Patients With Myocardial Infarction: Evidence from the VIRGO Study (Variation in Recovery: Role of Gender on Outcomes of Young AMI Patients). Circulation. 2018;137:781–790. https://doi.org/10.1161/CIRCULATIONAHA.117.031650. Accessed March 21, 2023.