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Early Warning Signs of Heart Attack

Women at desk clutching chest

Feb. 2 2023

Did you know that the symptoms of a heart attack may appear hours or even weeks before a heart attack occurs? The American College of Cardiology’s Early Heart Attack Care™ (EHAC) program teaches the early warning signs of a heart attack and who’s at risk. Learning this important information could save your life or the life of someone you love.

Early Signs and Symptoms

Someone might have one or more of these common symptoms. When they start, they can be mild or come and go. Over time, the symptoms and pain become more intense. Stay alert and always pay attention to chest pressure. 
Early signs of heart attack graphic

What are the Risk Factors?

These are the general risk factors. Discuss your risk with your doctor.

  • Chest pain, pressure, burning, aching or tightness - it may come and go
  • A family history of cardiovascular disease
  • High blood pressure
  • Overweight or obese
  • Sedentary lifestyle
  • Using tobacco prodcuts
  • Metabolic disease, diabetes or other illnesses
  • For women, it can also include birth control pills, a history of pre-eclampsia, gestational diabetes or having a low birth weight baby

What are the Differences for Men vs. Women?

Some heart attack symptoms can be different between men and women. Why does it matter? Women may be less likely to seek immediate medical care, which can cause more damage to the heart. 

  • Men normally feel pain and numbness in the left arm or side of chest, but in women these symptoms may appear on the right side. 
  • Women may feel completely exhausted, drained, dizzy or nauseous. 
  • Women may feel upper back pain that travels up into their jaw. 
  • Women may thing their stomach pain is the flu, heartburn or an ulcer. 

What are Atypical Presentations?

In an atypical presentation, the signs and symptoms are different. How? The patient may not complain about pain or pressure in the chest. Be alert for the following:

  • A sharp or "knife-like" pain that occurs with coughing or breathing
  • Pain that spreads above the jawbone or into the lower body
  • Difficult or labored breathing
If you are feeling these symptoms. Survive, don't drive. Call 9-1-1. 

If you would like more information about EHAC resources for a community group, contact Dawn Crumpton, Lexington Medical Center Outcomes Coordinator at (803) 936-7756 by dxcrumpton@lexhealth.org.

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Disclaimer: This blog is intended for general understanding and education about Lexington Medical Center. Nothing on the blog should be considered or used as a substitute for medical advice, diagnosis or treatment. Blog visitors with personal health or medical questions should consult their health care provider.