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Younger Women Often Miss Signs of Heart Attack


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Only half of the women experiencing heart attack symptoms sought care within the first hour, apparently because they thought their symptoms weren't real or weren't serious.

For this study, researchers conducted in-depth interviews with 30 women aged 55 and older a week after they had been discharged from the hospital following a heart attack.

Many didn't realize the symptoms were due to a heart attack. For example, one woman said she was told she was experiencing symptoms of acid reflux. Others attributed symptoms to fatigue, overexertion or stress.

Text Continues Below



Often, the symptoms just didn't line up with how heart attacks are presented in the popular media.

"I [had] probably seen a show or something with somebody having a heart attack," said one woman. "And they fall. They grab their chest. And then they grab their arm... I mean, you don't see anybody saying I have pain in my jaw or especially a heart attack, you don't see them vomiting . . . I did not know that and it's probably because of television, I would say is why I thought it would just be in the chest."

Similarly, another woman told investigators, "It's like... I didn't have any of the typical heart attack symptoms that you always hear about on TV and the ER hospital shows."

Some delayed treatment because symptoms went away for a while, or because they were too busy or had experienced prior, negative encounters with the health-care system (" . . . they throw you out, you know," said one woman. "If you don't have the money right there, then in two days you're gone").

One woman said she called her doctor about chest pains but was scheduled for a regular appointment in five days. Another woman who went to the emergency room spent an hour trying to find a supervisor to help her after a "rude" nurse just kept telling her to have a seat.

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Copyright © 2008 ScoutNews, LLC. All rights reserved.
Last updated 5/2/2008

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Learn about heart disease symptoms.
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SOURCES: Judith Lichtman, Ph.D., associate professor, epidemiology and public health, Yale School of Medicine, New Haven, Conn.; Suzanne Steinbaum, D.O., director, Women and Heart Disease, Lenox Hill Hospital, New York City; May 2, presentation, American Heart Association's Scientific Forum on Quality of Care and Outcomes Research in Cardiovascular Disease and Stroke, Baltimore


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