Recent research shows heart attack symptoms in women often differ from those in men. Chest pain is not always present.

Many women report symptoms like unusual fatigue, sleep issues, and anxiety for weeks before a heart attack. After menopause, risk increases due to the drop in estrogen.

Common early symptoms:

• Unusual fatigue lasting several days or sudden severe fatigue

• Sleep disturbances like restlessness or waking frequently

• Anxiety or a sense of impending doom

• Lightheadedness or dizziness

• Shortness of breath, with or without chest discomfort

• Indigestion, nausea, or gas-like pain

• Cold sweats or clammy skin

• Pain in the jaw, neck, back, shoulders, or stomach

• Pressure or discomfort in the chest, often described as fullness or tightness

Silent heart attacks may cause subtle symptoms like:

• Mild chest, arm, or jaw discomfort

• Shortness of breath

• Fatigue or difficulty with normal activity

• Abdominal pain or heartburn

• Clammy skin

What to do: If you experience any of these symptoms and they feel unusual for you, seek emergency care. Don’t ignore persistent symptoms, and if in doubt, get a second medical opinion. Schedule regular checkups and be aware of your personal risk factors.