Know your heart attack risk factors

Heart attacks, medically known as myocardial infarctions, are among the leading causes of death globally. Early recognition of the warning signs is crucial for timely intervention and can significantly improve survival rates and outcomes. Understanding these signs can help you act quickly, either for yourself or someone else. This article outlines the primary and lesser-known warning signs of a heart attack.

Primary Warning Signs

  1. Chest Pain or Discomfort: The most common and well-known symptom of a heart attack is chest pain or discomfort. This can feel like pressure, squeezing, fullness, or pain in the center or left side of the chest. The sensation often lasts more than a few minutes or may go away and come back. It’s important to note that not all heart attacks involve severe chest pain; some may present as mild discomfort or pressure.
  2. Pain in Other Areas of the Upper Body: Pain can radiate beyond the chest to the shoulders, arms (especially the left arm), back, neck, jaw, or stomach. This pain might be gradual or sudden and can vary in intensity. It’s crucial to take note of any unexplained pain in these areas, especially if it is combined with other symptoms.
  3. Shortness of Breath: This symptom can occur with or without chest discomfort and is often described as an inability to catch one’s breath or feeling out of breath. Shortness of breath can occur while at rest or during minimal physical activity and may start suddenly.
  4. Nausea, Indigestion, or Heartburn: Some people experience gastrointestinal symptoms such as nausea, indigestion, heartburn, or abdominal pain. These symptoms are more common in women and can be mistaken for less severe conditions like stomach issues.
  5. Cold Sweats: Breaking out in a cold sweat, often described as a clammy feeling, is another warning sign. This symptom can occur without any obvious reason, such as exertion or high temperatures, and may be accompanied by other symptoms like chest pain or shortness of breath.

Lesser-Known Warning Signs

  1. Fatigue: Unusual or unexplained fatigue is a common symptom, especially in women. This fatigue can be extreme and is not necessarily related to physical or mental exertion. It can last for days or even weeks before a heart attack occurs.
  2. Lightheadedness or Dizziness: Feeling lightheaded or dizzy can be a sign of a heart attack, particularly if it is accompanied by other symptoms like chest pain or shortness of breath. This can result from a drop in blood pressure or the heart’s reduced ability to pump blood effectively.
  3. Upper Back Pain: Pain in the upper back, often described as pressure or a tight band around the back, can be a heart attack symptom, particularly in women. This pain can be sudden and severe or more mild and long-lasting.
  4. Sleep Disturbances: Experiencing trouble sleeping, waking up frequently, or feeling unusually tired despite adequate sleep can be early warning signs of heart problems. These disturbances might be linked to discomfort or anxiety caused by an impending heart attack.
  5. Jaw Pain or Toothache: Jaw pain or toothaches that cannot be attributed to a dental issue may be signs of a heart attack. This pain can spread to the jaw from the chest or be felt directly in the jaw area.

What to Do If You Suspect a Heart Attack

If you or someone else exhibits these warning signs, it’s essential to act quickly. Call emergency services immediately. While waiting for help, chew and swallow an aspirin, if not allergic, as it can help thin the blood and improve blood flow to the heart. Try to remain calm and keep the person experiencing symptoms as comfortable as possible.

Prevention and Awareness

Understanding the risk factors and maintaining a heart-healthy lifestyle can reduce the risk of a heart attack. Key preventative measures include:

  • Regular Exercise: Engage in at least 150 minutes of moderate aerobic activity or 75 minutes of vigorous activity each week.
  • Healthy Diet: Focus on a balanced diet rich in fruits, vegetables, whole grains, lean proteins, and healthy fats.
  • Avoid Smoking: Smoking significantly increases the risk of heart disease and heart attack.
  • Regular Check-ups: Monitor blood pressure, cholesterol levels, and diabetes management.

In conclusion, recognizing the warning signs of a heart attack and understanding the steps to take can save lives. Education and awareness are crucial in preventing and responding to heart emergencies. If you ever find yourself questioning whether symptoms are severe enough, it is better to seek medical attention immediately. It could be a life-saving decision.



Chelsea Ngongang, MD, FACC

Cardiology

Dr. Chelsea Ngongang is a cardiologist with clinical interests in adult cardiovascular medicine and disease prevention, women’s health, and heart disease in pregnancy. She recently joined WakeMed Heart & Vascular after finishing her Cardiology fellowship training at Drexel University in Philadelphia PA. She received her internal medicine residency training at Johns Hopkins Medicine in Baltimore MD. Her roots are in North Carolina, where she was born and raised in Charlotte NC before attending NC State University for her Chemistry degree and she earned her medical degree from the University of North Carolina at Chapel-Hill School of Medicine.

Dr. Ngongang provides compassionate cardiovascular care focused on the uniqueness and dignity of each patient she serves. She invests time to build a rapport with patients and works to help them set goals to live their healthiest, fullest life. Her favorite quote: “It’s much more important to know the sort of patient that has a disease than what sort of disease the patient has”. Sir William Osler.

In her free time, Dr. Ngongang enjoys traveling (near and far) to experience the people, food and sites. She also enjoys the arts—she paints and loves live music performances.