8 Often-Overlooked Symptoms of Heart Disease in Women

By Sheery Ali, DO of Elliot Family Medicine at Windham 

Heart disease does not discriminate based on gender. Both women and men are at significant risk for this life-threatening condition. However, the causes and symptoms can vary between the sexes, often leading to underdiagnosis and mistreatment in women. Understanding these differences is key to early detection and effective treatment. 

Recognizing Heart Attack Symptoms in Women 

Heart attacks in women often have different symptoms than in men. While chest pain or discomfort is a common sign in both genders, women are more likely to experience a range of other symptoms, including: 

• Pain or discomfort in other areas of the upper body (arms, back, neck, jaw, or stomach) 
• Shortness of breath 
• Breaking out in a sweat 
• Lightheadedness or dizziness 
• Palpitations (hard or irregular heartbeats) 
• Indigestion or heartburn 
• Upper abdominal pain 
• Anxiety or a sense of doom  

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8 Overlooked Symptoms of Heart Disease in Women 

Women often experience symptoms that are not traditionally associated with heart disease, leading to dangerous delays in diagnosis and treatment. Here are ten symptoms that women should be particularly aware of: 

1. Struggle to Breathe When Lying Flat: This can indicate fluid buildup in the lungs, a sign of heart failure. 

2. Snoring or Sleep Apnea: Sleep disturbances can stress the heart and are linked to an increased risk of heart disease. 

3. Upper Back, Jaw, or Neck Soreness or Pain: These areas can experience pain originating from the heart and are often mistaken for other conditions. 

4. Leg Pain While Walking: Pain in the legs during physical activity can be a sign of peripheral artery disease (PAD), which is linked to heart disease. 

5. Swollen Ankles: New swelling can be a sign of heart failure, where the heart's ability to pump blood is reduced. 

6. Tired for No Reason: Unexplained fatigue is a common but often overlooked symptom of heart disease in women. 

7. Spot Fatty Growths: Xanthelasmas, or fatty deposits around the eyes, can indicate high cholesterol levels and heart disease. 

8. Nausea: This can occur without the typical chest pain, making it easy to overlook as a heart disease symptom. 

Heart disease remains the leading cause of death among women, yet many of its symptoms are often overlooked or wrongly attributed to other causes. By increasing awareness of these less-recognized symptoms, we can improve early detection and outcomes for women at risk of heart disease. If you or someone you know is experiencing any of these symptoms, it is crucial to seek medical attention promptly. Early intervention can make a big difference in managing heart disease effectively.  

Taking charge of your heart health is a proactive step towards a healthier, longer life. Stay informed and prioritize your well-being. 

Dr. Ali Sheery is a board-certified family medicine physician practicing at Elliot Family Medicine at Windham.