What Causes A Heart Attack
The vast majority of heart attacks occur because of a blockage in one of the blood vessels that supplies your heart. This most often happens because of plaque, a sticky substance that can build up on the insides of your arteries . That buildup is called atherosclerosis.
Sometimes, plaque deposits inside the coronary arteries can break open or rupture, and a blood clot can get stuck where the rupture happened. If the clot blocks the artery, this can deprive the heart muscle of blood and cause a heart attack.
Heart attacks are possible without a blockage, but this is rare and only accounts for about 5% of all heart attacks. This kind of heart attack can occur for the following reasons:
History of preeclampsia during pregnancy.
Eating disorders .
Heart Attack Symptoms In Men Vs Women
All heart attacks are not created equally, and that is especially true when it comes to the difference in symptoms between men and women. Knowing how to identify heart attack symptoms is critical to getting treatment quicker and saving valuable heart muscle. Dr. Tara Jarreau of Louisiana Cardiology Associates offers the following advice on recognizing heart attack symptoms.
Studies have shown there is a distinct disparity between men and women when it comes to the heart. For example, women have smaller hearts and smaller arteries than men do. This could be why the symptoms of a heart attack are different for women than men.
Common symptoms of a heart attack for both men and women include:
- Chest pain. For men, it can feel like uncomfortable pressure or squeezing of the chest. For women, the pain could be radiating or non-radiating. Research shows that almost half of women said they did not experience chest pain at anytime during a heart attack.
- Jaw or shoulder pain
- Weakness and shortness of breath
Unique symptoms for women include:
- Fatigue, often the first and most unrecognized symptom
- Back pain between the shoulder blades
- Unique symptoms for men include:
- Pain in one or both arms
- Back or stomach pain
- Abdominal discomfort that may feel like indigestion
Tips for Prevention
Women Have Unique Heart Attack Symptoms
A significant challenge for diagnosing women with heart disease is the lack of recognition of symptoms that might be related to heart disease, or that don’t fit into classic definitions. Women can develop symptoms that are subtler and harder to detect as a heart attack, especially if the physician is only looking for the “usual” heart attack symptoms.
“Women are much more likely to have atypical heart attack symptoms,” says Dr. Lili Barouch, director of the Johns Hopkins Columbia Heart Failure Clinic. “So while the classical symptoms, such as chest pains, apply to both men and women, women are much more likely to get less common symptoms such as indigestion, shortness of breath, and back pain, sometimes even in the absence of obvious chest discomfort.”
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When Should I See A Doctor
Its important not to ignore symptoms and wait until they become severe. If you have a concern, talk to your doctor. If heart disease is caught early, there are many lifestyle changes you can make to reduce your risk of further problems: eat a healthy diet with plenty of fruits and vegetables, get regular exercise , maintain a healthy weight, drink alcohol in moderation , and dont smoke.
Symptoms Vary Between Men And Women
As with men, womens most common heart attack symptom is chest pain or discomfort. But women are somewhat more likely than men to experience some of the other common symptoms, particularly shortness of breath, nausea/vomiting, and back or jaw pain.
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Should I Still Call 999 Or Go To Hospital If Im Worried About My Health
Whether or not you have coronavirus symptoms, its essential to dial 999 if you have symptoms that could be a heart attack, or if your heart symptoms get worse.
We are hearing that fewer people are being seen in hospital with heart attacks in recent weeks, which suggests that people are not seeking help when they should do. If you have any of the symptoms described above, you should call 999.
Dont delay because you think hospitals are too busy the NHS still has systems in place to treat people for heart attacks. If you delay, you are more likely to suffer serious heart damage and more likely to need intensive care and to spend longer in hospital.
Heart Attack Symptoms Are They Different For Men And Women
Three minute read
Every year, more than one million people in the U.S. suffer from a heart attack. This means every 40 seconds someone in the US experiences congestive heart failure. Although heart disease death rates have fallen steadily for men, the rates for women have decreased only slightly.
Why is there such a discrepancy between men and women? A lot of it has to do with the variances in symptoms of heart attacks for each gender.
Difference in heart attack symptoms for men and women
Chest tightening, sweating and pain in the shoulder and arm are the most well-known symptoms of a heart attack. For years, many believed these were the only symptoms to look out for, but as we learn more about cardiovascular disease, we find that there are significant differences in how men and women experience a heart attack.
Warning signs in men
Heart disease remains the leading cause of death for men. In fact, 1 in every 4 males die from a heart attack. Men also experience heart attacks earlier in life compared to women. Men exhibit the following symptoms during a heart attack:
- Chest pain/tightening that feels like an elephant sitting on your chest. Also, a squeezing sensation that comes and goes or remains constant
- Upper body pain in the arms, left shoulder, back, neck, jaw or stomach
- Rapid heartbeats
Warning signs in women
Women are less likely to seek treatment
What to do if you think youre having a heart attack
Schedule regular check-ups
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Are A Heart Attack And Cardiac Arrest The Same Thing
According to the American Heart Association, cardiac arrest is the abrupt loss of heart function in a person who may or may not have been diagnosed with heart disease. It can come on suddenly or in the wake of other symptoms. Cardiac arrest is often fatal, if appropriate steps arent taken immediately.
While heart attacks are caused by a blockage that stops the flow of the blood to the heart, cardiac arrest is caused when the hearts electrical system malfunctions and the heart stops beating properly. While heart attacks may cause cardiac arrest, the two terms dont mean the same thing.
*Centers for Disease Control and Prevention**American Heart Association
Symptoms Of Heart Arrhythmias
Heart arrhythmias occur when the heart beats irregularly, or too quickly or slowly. Some symptoms to look for include:
- fainting or dizziness
- a sensation of the heart racing, or beating too slowly or irregularly
- discomfort or pressure in the chest that can last for up to 30 minutes
- difficulty catching the breath after moderate exercise such as walking up stairs
- unexplained pain in the jaw, neck, or torso
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Know Your Risk For Heart Disease
You can take steps to lower your risk for heart disease by changing the factors you can control.
Several health conditions, your lifestyle, and your age and family history can increase your risk for heart disease. These are called risk factors. About half of all Americans have at least 1 of 3 key risk factors for heart disease: high blood pressure, high cholesterol, and smoking.1
Some risk factors for heart disease cannot be controlled, such as your age or family history. But you can take steps to lower your risk by changing the factors you can control.
About Half Of All Heart Attacks Are Mistaken For Less Serious Problems And Can Increase Your Risk Of Dying From Coronary Artery Disease
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You can have a heart attack and not even know it. A silent heart attack, known as a silent myocardial infarction , account for 45% of heart attacks and strike men more than women.
They are described as “silent” because when they occur, their symptoms lack the intensity of a classic heart attack, such as extreme chest pain and pressure stabbing pain in the arm, neck, or jaw sudden shortness of breath sweating, and dizziness.
“SMI symptoms can feel so mild, and be so brief, they often get confused for regular discomfort or another less serious problem, and thus men ignore them,” says Dr. Jorge Plutzky, director of the vascular disease prevention program at Harvard-affiliated Brigham and Women’s Hospital.
For instance, men may feel fatigue or physical discomfort and chalk it up to overwork, poor sleep, or some general age-related ache or pain. Other typical symptoms like mild pain in the throat or chest can be confused with gastric reflux, indigestion, and heartburn.
Also, the location of pain is sometimes misunderstood. With SMI, you may feel discomfort in the center of the chest and not a sharp pain on the left side of the chest, which many people associate with a heart attack. “People can even feel completely normal during an SMI and afterward, too, which further adds to the chance of missing the warning signs,” says Dr. Plutzky.
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How Does Heart Disease Affect Women
Despite increases in awareness over the past decades, only about half of women recognize that heart disease is their number 1 killer.1
Learn more facts about women and heart disease:
- Heart disease is the leading cause of death for women in the United States, killing 314,186 women in 2020or about 1 in every 5 female deaths.2
- Heart disease is the leading cause of death for African American and white women in the United States. Among American Indian and Alaska Native women, heart disease and cancer cause roughly the same number of deaths each year. For Hispanic and Asian or Pacific Islander women, heart disease is second only to cancer as a cause of death.3
- About 1 in 16 women age 20 and older have coronary heart disease, the most common type of heart disease:4
- About 1 in 16 white women , black women , and Hispanic women
- About 1 in 30 Asian women
Warning Signs Your Body Gives You Before A Heart Attack
Heart disease continues to be the leading cause of death in both men and women worldwide. Contrast to what you may see in a movie, the signs of a heart attack can be hard to miss. “Two-thirds of women will have less-typical, non-Hollywood heart attack symptoms,” says C. Noel Bairey Merz, M.D., director of the Barbra Streisand Women’s Heart Center at the Cedars-Sinai Heart Institute in Los Angeles.
Though symptoms like chest tightness and upper body pain are more obvious, heart attacks present a host of symptoms that can be easily mistaken for another ailment . Identifying the signs of a heart attack and seeking early intervention can be the difference between life or death. Here are the most common symptoms to look out for.
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How Soon After Treatment Will I Feel Better
In general, your heart attack symptoms should decrease as you receive treatment. Youll likely have some lingering weakness and fatigue during your hospital stay and for several days after. Your healthcare provider will give you guidance on rest, medications to take, etc.
Recovery from the treatments also varies, depending on the method of treatment. The average hospital stay for a heart attack is between four and five days. In general, expect to stay in the hospital for the following length of time:
- Medication only: People treated with medication only have an average hospital stay of approximately six days.
- PCI: Recovering from PCI is easier than surgery because its a less invasive method for treating a heart attack. The average length of stay for PCI is about four days.
- CABG: Recovery from heart bypass surgery takes longer because its a major surgery. The average length of stay for CABG is about seven days.
Heart Attack Testing: Faq
Q: Why do I have to submit to a bunch of tests?A: Tests help the doctor determine if a heart attack occurred, how much your heart was damaged and what degree of coronary artery disease you might have. The tests screen your heart and help the doctor determine what treatment and lifestyle changes will keep your heart healthy and prevent serious future medical events.
Q: Whats the difference between invasive and non-invasive tests?A: Non-invasive cardiac tests measure your hearts activity through external imaging and electrocardiography. Invasive tests include drawing and testing samples of your blood, and inserting and threading a thin hollow tube called a catheter into a blood vessel to get an inside view.
Q: How can I learn more about the tests that may be performed?A: These diagnostic tests and procedures can reveal if you had a heart attack, how much damage was done and what degree of coronary artery disease you have.
Q: What types of treatment will I get after the hospital diagnoses my heart attack?A: If youve had a heart attack, you may have already had undergone certain procedures to help you survive your heart attack. Those same procedures can help to diagnose your condition. Such procedures include:
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Cardinal Signs And Symptoms
Cardinal signs and symptoms are specific even to the point of being pathognomonic. A cardinal sign or cardinal symptom can also refer to the major sign or symptom of a disease. Abnormal reflexes can indicate problems with the nervous system. Signs and symptoms are also applied to physiological states outside the context of disease, as for example when referring to the signs and symptoms of pregnancy, or the symptoms of dehydration. Sometimes a disease may be present without showing any signs or symptoms when it is known as being asymptomatic. The disorder may be discovered through tests including scans. An infection may be asymptomatic which may still be transmissible.
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How Can I Reduce My Risk Of Having A Heart Attack
Although there are several risk factors that you cant control, there are many ways you can help yourself and reduce your risk of a heart attack. These include:
Being an active contributor to your health doesnt mean you have to make lifestyle changes all on your own. Ask your primary care provider and other providers on your healthcare team for help. They can provide the information and resources you need.
If youve already had a heart attack, your healthcare provider will recommend a cardiac rehabilitation program. This programs goals are to reduce your chance of a second heart attack. These medically supervised programs provide counseling and focus on the same healthy living goals listed above.
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Heart Attack Symptoms In Men #: Anxiety And A Racing Pulse
In the 2003 film Somethings Gotta Give, there are a couple of scenes in which Jack Nicholsons character is convinced hes having a heart attack. Hes panicking and his pulse is racing. It turns out to be an anxiety attack, but the confusion isnt just something out of a movie.
Men, even tough guys, can suddenly feel an overwhelming sense of anxiety during a heart attack. Sometimes thoughts turn to death, but theres no obvious reason for these thoughts and feelings.
Along with those anxious feelings, men may also find their pulse accelerating. The heart may skip a beat. By itself, a skipped beat could be harmless and not a heart attack symptom. But coupled with chest pain, shortness of breath and feelings of weakness, sudden changes in your pulse rate could indicate real trouble.
What If Your Doctor Assures You Its Just Stress Or Fatigue
If a young, healthy patient doesnt have other risk factors, the likelihood of having significant coronary artery disease is low. It may not be appropriate to jump into testing. But the important thing is to always keep coronary risks in mind. Anyone who is experiencing symptoms that dont go away or get worse should go back to a doctor for further evaluation.
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How Does Heart Disease Affect Men
- Heart disease is the leading cause of death for men in the United States, killing 382,776 men in 2020thats about 1 in every 4 male deaths.1
- Heart disease is the leading cause of death for men of most racial and ethnic groups in the United States, including African Americans, American Indians or Alaska Natives, Hispanics, and whites. For Asian American or Pacific Islander men, heart disease is second only to cancer.2
- About 1 in 13 white men and 1 in 14 black men have coronary heart disease. About 1 in 17 Hispanic men have coronary heart disease.3
- Half of the men who die suddenly of coronary heart disease had no previous symptoms.4 Even if you have no symptoms, you may still be at risk for heart disease.
How Are Heart Attacks Diagnosed
Healthcare providers usually diagnose heart attacks in an emergency room setting. Anyone with heart attack symptoms should undergo a physical examination, including checking pulse, blood oxygen levels and blood pressure and listening to heart and lung sounds.
A healthcare provider will diagnose a heart attack using the following:
- History and symptoms: The provider will ask you about the symptoms you experienced. They might also ask someone who was with you to describe what happened.
- Blood tests: During a heart attack, the damage to heart muscle cells almost always causes a chemical marker, a cardiac troponin, to appear in your bloodstream. Blood tests that look for that marker are among the most reliable methods to diagnose a heart attack.
- Electrocardiogram : This is one of the first tests you get when you come to an ER with heart attack symptoms.
- Echocardiogram: Using ultrasound , an echocardiogram generates a picture of the inside and outside of your heart.
- Angiogram: This test shows areas with little or no blood flow.
- Heart computed tomography scan: This creates a highly detailed scan of your heart.
- Heart MRI: This test uses a powerful magnetic field and computer processing to create an image of your heart.
- Nuclear heart scans: Similar to angiography, these scans use a radioactive dye injected into your blood. What sets them apart from an angiogram is that they use computer-enhanced methods like computed tomography or positron emission tomography scans.
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