Early Signs of Heart Attack in Women: Neck, Jaw, and Abdominal Pain Often Overlooked

Islamabad: Heart attacks remain one of the leading causes of death worldwide, with a steadily increasing mortality rate, and Pakistan is no exception. Experts warn that the human body often begins to signal an impending heart attack up to a month in advance—but due to lack of awareness, these warning signs are frequently ignored.
Medical professionals emphasize that heart attack symptoms can differ significantly between men and women. The following are key early warning signs specifically seen in women that should not be ignored:
Chest Discomfort or Pressure
Dr. Rita Redberg, Director of Cardiovascular Services at the University of California, San Francisco, notes that while chest pain is a common indicator, women often experience it differently than men. Women may feel a heaviness in the chest, tightness, or discomfort not just on the left side but anywhere across the chest, often accompanied by a sense of unease.
Pain in the Neck, Jaw, Arms, or Back
According to Dr. C. Noel Bairey Merz, Managing Director of the Women’s Heart Center in Los Angeles, women are more likely than men to experience pain in the neck, jaw, arms, or back prior to a heart attack. This pain can develop suddenly and intensify quickly.
Abdominal Pain and Discomfort
Dr. Nieca Goldberg, Medical Director at the Joan H. Tisch Center for Women’s Health in New York, explains that stomach issues can also be early indicators of a heart attack. Many women misinterpret this pain as acidity, indigestion, or ulcers. Some report feeling as if there is a heavy weight pressing down on their abdomen—often mistaken for gastrointestinal discomfort but potentially a sign of a heart condition.
Nausea and Shortness of Breath
Breathing irregularities and nausea are additional signs. Dr. Goldberg warns that women who experience shortness of breath—particularly while climbing stairs or walking—should take it seriously, especially if accompanied by light-headedness or vomiting. These symptoms may result from reduced blood flow to the heart.
Unexplained Fatigue
Persistent fatigue is another common but overlooked sign. Dr. Goldberg highlights that nearly 70% of women who suffered heart attacks reported unusual tiredness weeks before the event. If women feel exhausted without engaging in any physical or mental exertion—and if this fatigue worsens by the end of the day—they should consult a healthcare provider immediately.
Experts stress that early recognition of these symptoms can save lives. Women should pay close attention to these signs and seek medical help at the earliest indication.