In the movies, you never doubt when a man's having a heart attack. He clutches his chest, screams, or moans, and falls to the ground. If he's lucky, help is on its way.
In real life, the signs aren't always so clear. Some people do experience Hollywood-type symptoms, says Mohamud Daya, MD, an associate professor of emergency medicine at Oregon Health and Science University in Portland. But others don’t. “Some people say they just feel uneasy discomfort or vague discomfort, not pain that really hurts. Sometimes it feels more like heaviness or pressure,” Daya explains.
As a psychologist who has counseled heart patients for more than thirty years, Wayne Sotile, PhD, knows exactly how much they worry about sexafter a heart attack.
"And if they're not anxious, believe me, their partner's anxious," he says.
Couples worry about triggering a second heart attack, or even that a patient could die in the bedroom. But Sotile and cardiologists tell WebMD that sex isn't nearly as risky as many patients believe. With a touch of reassurance, heart patients can once again enjoy...
“Some chest symptoms almost invariably accompany a heart attack, but everyone experiences it a little bit differently,” says Kristin Newby, MD, a cardiologist at the Duke Heart Center in Durham, NC. “Describing it as pain or pressure or tightness or burning or any of those symptoms are probably all reflecting each individual’s perception of the same thing.”
Chest pain or discomfort can come on fast or slow. Symptoms can come and go or last for more than a few minutes. In a study published in the American Journal of Critical Care in 2008, men reported more severe chest pain than women. They were also more likely to say their symptoms were brought on by exertion.
However, that same study found that 10 percent of men experienced no chest pain at all. And diabetics can have heart attacks without feeling pain. It’s also possible to experience a cluster of other symptoms. While less common than chest pain, these can include:
Discomfort or pain in other areas, such as one or both arms, the neck, jaw, back, or stomach