Younger Women Often Miss Signs of Heart Attack

(Page 2)

For this study, researchers conducted in-depth interviews with 30 women aged 55 and older a week after they had been discharged from the hospital following a heart attack.

Many didn't realize the symptoms were due to a heart attack. For example, one woman said she was told she was experiencing symptoms of acid reflux. Others attributed symptoms to fatigue, overexertion or stress.

Often, the symptoms just didn't line up with how heart attacks are presented in the popular media.

"I [had] probably seen a show or something with somebody having a heart attack," said one woman. "And they fall. They grab their chest. And then they grab their arm... I mean, you don't see anybody saying I have pain in my jaw or especially a heart attack, you don't see them vomiting . . . I did not know that and it's probably because of television, I would say is why I thought it would just be in the chest."

Similarly, another woman told investigators, "It's like... I didn't have any of the typical heart attack symptoms that you always hear about on TV and the ER hospital shows."

Some delayed treatment because symptoms went away for a while, or because they were too busy or had experienced prior, negative encounters with the health-care system (" . . . they throw you out, you know," said one woman. "If you don't have the money right there, then in two days you're gone").

One woman said she called her doctor about chest pains but was scheduled for a regular appointment in five days. Another woman who went to the emergency room spent an hour trying to find a supervisor to help her after a "rude" nurse just kept telling her to have a seat.

"A lot of women were triaged for a regular visit or, even in the ER, were being looked up for a lot of things other than a heart attack," Lichtman said.

Ironically, for some women, it was actually a relief to know that they were having a heart attack, that finally the mystery was over, Lichtman said.

Lichtman and her colleagues will be looking at this issue in more depth in a U.S. National Institutes of Health-funded study enrolling 2,000 women under 55 and 1,000 men in the same age range.

"A little bit of empowerment goes a long way," Steinbaum said. "Knowing your risk and knowing the potential for heart disease, seeking early care for symptoms that are really unclear and then saying, 'I am at risk for heart disease, please help me' becomes important in the paradigm of how this needs to develop."

More information

Visit the American Heart Association's Go Red For Women for more on women and heart disease.