Dramatically clutching the chest and slowly sinking to the floor is often how heart attacks are presented in television and movies.
And while heart attack symptoms can arise suddenly and be quite intense, more often, the symptoms start more slowly and are milder, according to the American Heart Association.
Heart attack symptoms can present with general discomfort, pressure, fullness, squeezing, or pain in the central part of the chest lasting for several minutes.
Additionally, symptoms may occur in other areas of the body, too, including one or both arms, in the back or neck, stomach, or even the jaw.
Someone having a heart attack may also feel nauseous, be lightheaded, or they may break out in a cold sweat.
Heart attack symptoms in men often differ from heart attack symptoms in women.
The American Heart Association says that shortness of breath, nausea or vomiting, and back or jaw pain are symptoms that are more common in women than in men.
If you are experiencing any of these symptoms, please call 911 immediately. The quicker emergency responders see you, the sooner treatment can begin.
Recovering from a heart attack takes time, and there are several ways to help speed healing.
Of course, it is preferable never to experience a heart attack, and incorporating heart-healthy practices into your daily routine may help stave off coronary heart disease and a heart attack.
What Is a Heart Attack?
According to the American Heart Association, coronary heart disease, including heart attacks, is responsible for causing 1 out of every seven deaths in the United States.
Even more troubling is the fact that every year an estimated 635,000 people experience a heart attack for the first time, and nearly 300,000 people experience a repeat attack.
Each heart attack injures the heart muscle, and the amount of damage depends a lot on the length of time it takes to receive emergency medical treatment.
So, what is a heart attack? It is an event where the flow of oxygen-rich blood is limited or cut off before it reaches the heart.
Coronary arteries narrowed because of plaque buildup (atherosclerosis) are often the culprit.
When plaque particulates come loose and break off, blood forms around them, causing a clot, this clot can then block the blood flow completely, leading to ischemia.
When your heart is damaged because of ischemia, the event can be called a heart attack (also known as a myocardial infarction).
While some people will experience a variety of warning signs, if the root cause of the heart attack is atherosclerosis, typically, a heart attack can occur suddenly, without any noticeable warning signs.
It is essential to note the difference between cardiac arrest and a heart attack. A heart attack arises when there is a problem in the circulation of oxygen-rich blood.
At the same time, cardiac arrest is caused by an electrical or mechanical problem in the heart, such as an abnormal or irregular heartbeat or arrhythmia.
Cardiac arrest causes the heart to stop suddenly, and a heart attack can create it. Death can occur within just moments after the heart stops beating.
Both heart attacks and cardiac arrest can be treated, but time is of the essence.
CPR and the use of a defibrillator to shock the heart back into a normal rhythm may reverse cardiac arrest.
Call 911 immediately if you believe you or someone you know is experiencing either cardiac event.
10 Signs & Symptoms
The type and severity of heart attack symptoms vary from person to person, and by gender.
The following symptoms are common, but it is essential to understand that the more of the symptoms you have concurrently, the higher the possibility is that you have a heart attack.
- Pressure, tightness, pain, aching, or squeezing sensation in the chest that may radiate to the neck, jaw, or back.
- Abdominal pain
- Shortness of Breath
- Cold sweats
- Sudden dizziness
Heart disease is the No. 1 killer of women in the United States. Heart attack symptoms in women may be more subtle, and many women report they believed their symptoms were due to aging, acid reflux, or even the flu.
According to the Cleveland Clinic, pre-heart attack symptoms in females may include:
- Unusual fatigue
- Sweating and shortness of breath
- Pain that radiates from the chest to the jaw, back, or neck.
For women, it can sometimes be difficult to tell the difference between women’s heart attack symptoms vs. anxiety or panic attack symptoms.
These two conditions can present very similarly with symptoms including vertigo, dizziness, heart palpitations, numbness in the extremities, trembling, and even fainting.
If you have a history of heart disease or heart attacks, and you also have an anxiety or panic disorder, any time you experience any heart attack symptoms, you should seek emergency medical attention.
Symptoms of a heart attack in men under 40 include many of the common symptoms mentioned above.
The real challenge for this demographic is that seemingly healthy young men can experience a sudden cardiac event or SCE.
We often see this in young athletes when the subtle symptoms are brushed off as overexertion.
Early Warning Signs
According to the Mayo Clinic, some people may experience early warning signs in the weeks, days or hours in advance of a heart attack, and they note particularly that recurrent chest pain, or angina,
that is triggered by exertion and relieved by rest may be the earliest warning sign. Talk to your doctor as soon as possible if you experience chest pains.
Causes & Risk Factors
The most common heart attack cause is a narrowed or blocked coronary artery, known as coronary artery disease.
During a heart attack, the plaque that causes the narrowing of the artery ruptures and clouds the blood with cholesterol and other elements of the plate.
This event can, in turn, cause a blood clot to form, and this clot can then wholly impede the flow of blood through the artery.
Also, a more rare condition called a coronary artery spasm can occur in a standard or healthy blood vessel or those that are blocked by atherosclerosis.
This spasm can be life-threatening and is sometimes related to the use of illegal drugs like cocaine. A severe contraction can cause a heart attack.
Even more rare is a spontaneous coronary artery dissection, or SCAD.
This unique event occurs when there is spontaneous tearing in the coronary artery wall.
In men, SCAD is generally related to extreme exertion. In healthy women, some evidence points to a hormonal link with SCAD occurring in postpartum women or around the menstrual cycle.
- Men 45 years of age and older
- Women 55 years of age and older
- Smoking or long-term exposure to secondhand smoke
- High blood pressure
- High blood cholesterol
- High triglyceride levels
- Family history
- Atrial fibrillation
- Lack of physical activity
- Illegal drug use
- History of preeclampsia
- Autoimmune diseases including lupus or rheumatoid arthritis
When presenting with heart attack symptoms, the following diagnostic tests will likely be ordered:
- Blood tests
- Chest x-ray
- Stress test
In an emergency, the following medications may be used:
- Antiplatelet agents
- Blood-thinning medications
- Pain relievers
- ACE inhibitors
In some instances, surgical intervention, including a coronary angioplasty (with or without stenting) or coronary artery bypass surgery, may be required.
7 Natural Ways to Boost Heart Attack Recovery
1. Participate in Cardiac Rehab.
After a heart attack, your cardiologist will likely suggest you participate in a cardiac rehab program. Many hospitals provide this outpatient program to help heart attack survivors recover.
These programs consist of a combination of disciplines that focus not only on your recovery but on lowering your risk for future cardiac events.
Sessions often include emotional and mental support, physical exercise, and creating a personalized heart-healthy lifestyle.
2. Manage Underlying Conditions.
Many underlying conditions, including high blood pressure, high cholesterol, and diabetes, increase your risk for heart attacks. Treating these conditions effectively may help improve your recovery time.
3. Stop Smoking.
If you smoke, stop smoking now and avoid secondhand smoke.
4. Lose Weight.
If you are overweight, eat a nutrient-dense, healthy diet to take off any extra pounds. Getting to a healthy weight and maintaining it is linked to better heart health.
Heart attack survivors are often hesitant to exercise out of fear of experiencing another heart attack. However, once your cardiologist determines that it is safe for you to use, follow their recommendations. Remember, be gentle with yourself; your body has survived a traumatic event, and it will take some time before you are performing at pre-heart attack levels. (12)
6. Treat Depression.
Depression is ubiquitous after a heart attack, and the symptoms can last six months or even longer.
Anxiety, anger, irritation, resentment, and poor self-esteem can all be a part of the equation too.
Talk therapy or a support group, sunshine, and inhaling Roman chamomile essential oil may help. Again, be gentle with yourself during recovery; it is a process that requires healing of the mind, body, and spirit.
7. CoQ10, 100 milligrams twice a day
After a cardiac event, you may be prescribed statins to help prevent another heart attack.
Taking a CoQ10 supplement may help to lower the side effects of the medication while helping to regulate blood pressure.
In a promising two-year clinical trial of patients with moderate to severe heart failure, patients were given either a placebo or CoQ10 supplement.
At two years, those receiving CoQ10 had significantly fewer adverse cardiovascular events, lower death rates, and a smaller number of hospital stays.
Researchers do urge 100 milligrams twice a day instead of a single 200-milligram dose once a day because of better absorption rates.
Prevention: 7 Natural Ways to Keep Your Heart Healthy
According to the American Heart Association, around 20 percent of patients 45 and older who have a heart attack will have another within five years.
Practicing the following heart-healthy lifestyle tips can improve heart health and keep your heart healthy.
1. Eat a diet rich with heart-healthy foods.
- The Cleveland Clinic, one of the world’s most respected cardiology centers, recommends reaching and maintaining a healthy weight for heart health. The Cleveland Clinic’s Heart Healthy Diet includes:
- Seven to nine servings of fruits and vegetables daily. Eat a variety of fruits and vegetables that span the rainbow to enjoy a diverse intake of nutrients. Enjoy berries, citrus, peppers, and leafy greens. As a note, a serving is one medium piece of fruit, or 1/2 cup cooked or 1 cup raw vegetables.
- Aim for 25 grams or more of fiber. The Cleveland Clinic recommends a combination of soluble and insoluble fiber daily. From the soluble fiber category, oats, lentils, split peas, flaxseed, citrus, and apples are all heart-healthy choices. From the insoluble type, eat nuts and whole-grain cereals or bread.
- Eat two to three vegetable-based protein meals weekly. Replace animal-based protein meals with lentils, legumes, quinoa, nuts, and seeds. Enjoy a dinner of hummus and falafel, the combination of which is filling and satisfying.
- Limit conventional red meat to one meal per week.
- Eat free-range poultry, without skin, two times per week.
- Eat wild-caught fish, rich with omega-3 fatty acids, twice a week. For a quick and nutritious meal, try my recipe for cilantro-salmon burgers.
- Drink in moderation.
- Practice portion control.
2. Enjoy Dark Chocolate.
The Cleveland Clinic also recommends eating one ounce of dark chocolate a few times a week for heart health.
Cocoa’s strong bitter taste comes from the flavanols that can improve vascular health by lowering blood pressure, improving blood flow to the brain and the heart, and making blood platelets less likely to clot.
However, it is essential to note that the more that chocolate is processed, the more health benefits are lost.
Choose low-processed dark chocolate, and avoid Dutch-processed cocoa and highly processed chocolates with nuts and nougat.
3. Be Physically Active.
Walking just 30 minutes a day can lower your risk for heart attack and stroke. The goal is to complete at least 30 minutes of moderate aerobic activity, at least five days a week.
If you’ve had a heart attack, wait to be cleared by your cardiologist before beginning any exercise.
4. Practice Yoga Regularly.
Not only is yoga great for flexibility, strength, managing stress, depression, and anxiety, it is also linked to better heart health. And, long-term sustained yoga practice may play a role in improving overall health.
A systemic review of clinical trials found that yoga may improve cardiac health by lowering blood pressure, lowering cholesterol, losing weight, lowering triglycerides, and improving heart rate.
5. Omega-3 Fish Oil Supplement, 1,000 milligrams daily.
Fish oil is associated with overall heart health and is linked to increasing energy, lowering high triglyceride levels, and weight loss.
And, according to a clinical trial published in the journal Circulation, a high dose of Omega-3 fatty acids from a supplement taken for six months improves specific cardiac health markers in patients with a heart attack history.
A variety of clinical trials have found that taking certain heart medications, along with having regular acupuncture sessions is associated with a reduced rate of heart attacks in those with coronary heart disease.
A review of 16 clinical trials indicates that acupuncture plus prescribed drugs are more effective than drugs alone.
7. Manage Stress & Treat Anxiety.
Stress, depression, and anxiety all have real consequences on our physical and emotional health. In addition to a healthy diet, regular exercise, and high-quality sleep, other activities such as cognitive behavioral therapy, meditation, and art therapy may help.
Also, ashwagandha, one of the top natural remedies for anxiety, is shown to combat stress, anxiety, and depression. Take 300 milligrams of a high-quality ashwagandha supplement daily.
Be sure to check with your health care provider first.
Heart attacks can be fatal. Call 911 immediately if you experience chest pains in addition to other common heart attack symptoms.
In seemingly healthy young men and women, heart attack symptoms must be taken seriously. According to the Cleveland Clinic, the rates of heart attacks in younger women are on the rise, including silent heart attacks where no symptoms arise.
If you have a family history of coronary heart disease, smoking, have diabetes or high blood pressure, talk to your doctor about regular screening.
Key Points About Heart Attack Symptoms
- Coronary heart disease, including heart attacks, is responsible for 1 out of every seven deaths in the United States.
- A heart attack occurs when the flow of blood is limited or cut off before it reaches the heart.
- Heart attack causes include atherosclerosis, coronary artery spasm, or the rare condition called spontaneous coronary artery dissection (SCAD).
- Heart attack symptoms vary widely from person to person, and women may experience more subtle symptoms than men.
- Recovering from a heart attack takes time, and there are lifestyle changes that can help in recovery.
7 Natural Ways to Boost Heart Attack Recovery
1. Participate in cardiac rehab as suggested by your cardiologist to help lower your risk for future heart attacks, manage anxiety and depression, and add physical exercise to your routine.
2. Manage underlying conditions like high blood pressure, diabetes, and high cholesterol.
3. Stop smoking and avoid secondhand smoke.
4. Lose weight and maintain a healthy weight.
5. Exercise, when cleared by your medical team, at least 30 minutes, five times a week.
6. Treat depression and anxiety with natural treatments such as talk therapy, support groups, sunshine, and inhaling an essential oil like Roman chamomile.
7. Take CoQ10, 100 milligrams twice a day, to improve cardiac health and lower the side effects of prescribed medications.
Prevention: 7 Natural Ways to Keep Your Heart Healthy
1. Eat a heart-healthy diet.
2. Enjoy 1 ounce of dark chocolate several times a week.
3. Be physically active by walking 30 minutes or more, at least five days a week.
4. Practice yoga regularly.
5. Take 1,000 milligrams of omega-3 fish oil supplement daily.
6. Acupuncture done in conjunction with heart medications may make them more effective than the drugs alone.
7. Manage stress & treat anxiety with natural treatments and remedies like ashwagandha, medicine, and art therapy.