What is causing my chest pain?

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by Carolyn Thomas  ♥   @HeartSisters

First of all, I think even using the word “pain” to describe a common heart attack symptom may be misleading for many women.

It’s important to remember that some women experience NO chest symptoms at all during a heart attack.(1)  And since my own heart attack, I have met countless heart attack survivors who don’t use the word “pain” to describe their chest symptoms. Cardiac researcher Dr. Catherine Kreatsoulas reminds us that words matter when women describe their chest symptoms without using the word “pain” – and can actually influence how they will be treated in the Emergency Department – or not.  Continue reading “What is causing my chest pain?”

How women can have heart attacks without having any blocked arteries

by Carolyn Thomas  ♥  @HeartSisters

Turns out that the kind of heart attack that I had (caused by a 95% blockage in the big left anterior descending coronary artery) – the so-called widowmaker heart attackmay actually be relatively uncommon  in women. You might guess that fact by its nickname.  It’s not, after all, called the “widower-maker”.

While cardiologists warn that heart disease can’t be divided into male and female forms, there are some surprising differences. Cardiologist Dr. Amir Lerman at the world famous Mayo Clinic in Rochester, Minnesota, told the Los Angeles Times recently:

“When it comes to acute heart attacks and sudden death from cardiac arrest, women have these kinds of events much more often without any obstructions in their coronary arteries.”

Instead, it appears that a significant portion of women suffer from another form of heart disease altogether. It affects not the superhighway coronary arteries but rather the smaller arteries, called microvessels. These tiny arteries deliver blood directly to the heart muscle.

Ironically, I can now boast two diagnoses for the price of one – first, the widowmaker heart attack caused by a fully occluded coronary artery back in 2008, and then, after several months of puzzling, ongoing cardiac symptoms – like chest pain, shortness of breath, and crushing fatigue – a second diagnosis of inoperable coronary microvascular disease. Continue reading “How women can have heart attacks without having any blocked arteries”

Mayo Clinic: “What are the symptoms of a heart attack for women?”

by Carolyn Thomas @HeartSisters

It’s been in the news. It’s been presented at cardiology conferences.  It has set cardiac circles and women heart attack survivors abuzz. It’s the question of whether women present with heart attack symptoms that are different than those of men.  The media attention surrounding the claims of this study conclusion has put women’s awareness of heart disease back a decade, in my opinion.  Continue reading “Mayo Clinic: “What are the symptoms of a heart attack for women?””

How does it really feel to have a heart attack? Women survivors answer that question

by Carolyn Thomas   ♥   @HeartSisters

Having a heart attack felt nothing like I thought it would feel.   For one thing, unlike sudden cardiac arrest, in which the heart stops beating and you stop breathing, during my heart attack (myocardial infarction), my heart continued beating, and I was walking, talking and conscious throughout despite horrific symptoms – so how could I possibly be having a heart attack?

Like most women, I’d never really thought about my heart – except maybe when running up that killer Quadra Street hill with my running group. Yet heart disease kills six times more women than breast cancer each year (in fact, it kills more women than all forms of cancer combined).

Women need to know all the potential symptoms of a heart attack – both typical and atypical. And by the way, I’ve stopped using the word “atypical to describe any non-chest pain symptom that women experience during a heart attack, because as paramedic and documentary filmmaker (“A Typical Heart“) Cristina D’Alessandro likes to say: 

“Why are our cardiac symptoms called ‘atypical’ when women are more than half the population?”

I asked some female survivors to share their very first symptoms. Their heart attack stories may surprise you. If you need help translating some of the heart jargon, visit my patient-friendly jargon-free glossary of cardiology terms and abbreviations.

Read their stories