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Women's Heart Attack Signs/Symptoms

Clinical manifestations: 1) preceding a heart attack - unusual fatigue ~ 70% - sleep disturbance ~ 48% - shortness of breath ~ 42% - indigestion ~ 39% - anxiety ~ 35% 2) during a heart attack - chest pain (most common) [1,2]* - shortness of breath ~ 58% [2,3] - weakness ~ 55% - unusual fatigue ~ 43% - cold sweat ~ 39% - dizziness ~ 39% [1,3] - nausea/vomiting [2] - back pain or jaw pain [1,2] - palpitations [1] * accuracy of most chest pain characteritics in the diagnosis of acute myocardial infarction (AMI) is low [4] - the association with exertion is a stronger indicator of AMI than association with dyspnea, pressure, or stress [4]

References

  1. Berg J, Bjorck L, Dudas K, Lappas G, Rosengren A. Symptoms of a first acute myocardial infarction in women and men. Gend Med. 2009 Sep;6(3):454-62 PMID: 19850241
  2. American Heart Association Heart Attack Symptoms in Women http://www.heart.org/HEARTORG/Conditions/HeartAttack/WarningSignsofaHeartAttack/Heart-Attack-Symptoms-in-Women_UCM_436448_Article.jsp?gclid=CMKrjZPP68ECFUVgfgodEpAARw
  3. Women's Heart Attack Signs http://www.nih.gov/news/WordonHealth/dec2003/capsules.htm#heartattacksigns
  4. Rubini Gimenez M, Reiter M, Twerenbold R, et al. Sex-specific chest pain characteristics in the early diagnosis of acute myocardial infarction. JAMA Intern Med. 2014;174:241-249 PMID: 24275751