Heart Attack Symptoms: Differences in Men vs. Women

Heart attacks remain a leading cause of death for both men and women, but the signs and symptoms can differ significantly between genders. Recognizing these differences could save a life—whether it’s your own or someone else’s.

Heart Attack Symptoms in Men

Men often experience the more well-known or “classic” heart attack symptoms:

• Chest Pain or Pressure: A squeezing, burning, or tight sensation in the chest that may spread to the arms, neck, or jaw
• Shortness of Breath: Trouble breathing, even when not active
• Cold Sweats: Sudden, heavy sweating without exertion
• Nausea or Lightheadedness: Feeling faint, dizzy, or queasy
• Pain in the Left Arm: A common but often overlooked symptom

Heart Attack Symptoms in Women

Women’s symptoms are often more subtle and may be misdiagnosed:

• Unusual Fatigue: Extreme tiredness, even with minimal activity
• Back, Neck, or Jaw Pain: Pain in these areas is more frequent in women than chest pain
• Shortness of Breath: May also include nausea or dizziness
• Indigestion or Stomach Pain: Often mistaken for acid reflux or the flu
• Chest Discomfort: Can feel like pressure, tightness, or fullness—not always pain

Why Do Symptoms Differ?

Biological differences, including how men and women experience cardiovascular disease, contribute to the symptom variation. Women are more likely to have blockages in smaller arteries (microvascular disease), which can lead to less typical warning signs.

When to Seek Help

If you or someone else experiences any of these symptoms, call 911 immediately. Time is critical during a heart attack—early treatment can save lives.

How to Reduce Your Risk

• Know Your Numbers: Monitor blood pressure, cholesterol, and blood sugar.
• Live Heart-Healthy: Eat a balanced diet, stay active, and avoid tobacco.
• Manage Stress: Long-term stress increases your heart attack risk.
• Regular Check-Ups: Screenings help catch issues early.

Covenant Health is Here for You

Heart attacks can happen to anyone—but knowing the symptoms and acting quickly can make a difference. At Covenant Health, our heart care teams are committed to helping you protect your heart and stay well. Learn more about our cardiology services.