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.
Lynn Swassing was just 48 years old, the mother of two sons in high school
and one daughter in college, when she had a heart attack in 1987. She
underwent quadruple bypass surgery and was hospitalized for nearly six
Every single day, at some point, the hospital had an exercise specialist at
the foot of my bed, she recalls. They told me, if you don't get active, you
won't make it.
No way,was Swassing's first thought. The full-time mom had never been on a
treadmill in her life, and she...
“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