Most people identify chest pain with the crushing pressure or elephant setting on your chest. Did you know that heart disease is the NUMBER ONE killer in the US for women? I bet if you are a woman, you didn’t know that….1 in 5 deaths for women are related to heart disease. I get the feeling that a lot of you feel that heart disease is more of a man’s disease though, that’s why I’m trying to wisen you up today!
First, let’s talk about PREVENTABLE risk factors for heart disease—YES PREVENTABLE! Diabetes, overweight and obesity, smoking, excessive alcohol use, physical inactivity, and unhealthy eating. Does any of those apply to you? We’ve already discussed activity and diet, and I suspect you all are are aware of the dangers of smoking, obesity and excessive alcohol. We still haven’t had a discussion regarding diabetes, but just being a diabetic increases you risk of heart disease and being a poorly controlled one increases it even more. Also, cholesterol—we talked about those numbers, what they mean and how to keep them down—get to work!
So female presentation of chest pain doesn’t always show up as typical crushing chest pain-the kind we often see in men. It is more sneaky and often easier to dismiss as something else. Heartburn, muscle pain, bad sleep, stress, etc. Women are notorious for putting things off, to keep up their roles as caretakers for the family. They may ignore symptoms they think are other things but that can be very serious. Nausea and vomiting, chest pain (not always), neck pain, jaw pain, pain in upper back, fatigue, indigestion, fainting, shortness of breath, or pain in the upper abdomen can be signs of a heart attack in women. They may only have ONE of these symptoms or they may have more than one.
IF YOU THINK YOU ARE HAVING A HEART ATTACK: CALL 911! Don’t wait! Seriously! Do not drive yourself. EMS personnel can provide life-saving treatment at your home, in your home, immediately! If you go to the ER, you will not get inside quickly, you may have to wait—Don’t wait! If you have aspirin laying around, CHEW one up and swallow it. This will help you to prevent clot formation during a heart attack.
Hopefully, this short post will bring to your attention some of the differences with women and chest pain. A lot of this is preventable. I’m going to post a couple of good graphics, the first is female heart disease deaths by county 2018-2020. The darker the color the worse is is-the southeast glows!!! The second is a visual of the chest pain differences between men and women from the American Heart Association. Be heart wise!!


Sources: https://www.goredforwomen.org/en/about-heart-disease-in-women/signs-and-symptoms-in-women/symptoms-of-a-heart-attack. https://www.cdc.gov/heartdisease/women.htm https://www.health.harvard.edu/heart-health/aspirin-for-heart-attack-chew-or-swallow

