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Heart attack<br />

warning<br />

signs<br />

& how to cut your risk<br />

The<br />

pain<br />

of a heart<br />

attack is not<br />

always severe<br />

– it can just feel<br />

uncomfortable<br />

Women<br />

can also<br />

experience a<br />

spreading pain<br />

in the jaw, back,<br />

neck, arms or<br />

stomach...<br />

The classic heart<br />

attack sign is pain<br />

in the centre of your<br />

chest, between your<br />

breasts or behind<br />

your breastbone<br />

...feeling sick, sweaty,<br />

breathless, dizzy<br />

or anxious and<br />

lethargic (with<br />

chest pain) can<br />

be cause for<br />

concern<br />

The signs of a heart attack can<br />

be less obvious in women.<br />

Karen Evennett explains what to<br />

look for and how to protect yourself<br />

It may seem<br />

impossible that<br />

you could have a<br />

heart attack and not<br />

know it. Yet a recent<br />

study found that the early<br />

warning signs of a heart<br />

attack are missed in one<br />

in six people, and being a<br />

woman means that you’re<br />

less likely to notice the<br />

tell-tale hints that<br />

something is wrong.<br />

“That’s usually because<br />

we associate a heart attack<br />

with that classic image of a<br />

stressed-out businessman<br />

clutching his arm,” explains<br />

Dr Mike Knapton, Associate<br />

Indigestion,<br />

cold sweats, lightheadedness<br />

and<br />

collapse are also signs<br />

that are often mistaken<br />

for being something<br />

less serious<br />

Medical Director of the<br />

British Heart Foundation.<br />

Often the signs are more<br />

subtle and if you know<br />

what to look for, you can get<br />

yourself treatment faster and<br />

you’ll have a better chance of<br />

saving your heart.<br />

Did you know?<br />

On average your<br />

heart beats 100,000<br />

times a day<br />

It’s particularly important<br />

that you pay attention to<br />

your heart post-menopause.<br />

“Before the menopause the<br />

hormone oestrogen offers<br />

some protection,” says Dr<br />

Knapton. “Post menopause<br />

your risk of a heart attack is<br />

higher. Be extra vigilant if<br />

you’re a smoker or have risk<br />

factors such as high blood<br />

pressure, high cholesterol,<br />

obesity and diabetes.”<br />

“The classic sign of a<br />

heart attack is a pain in the<br />

If in doubt, check it ouT!<br />

If you’re getting unusual, grumbling indigestion-like<br />

symptoms often and you’re concerned they could be to<br />

do with your heart, your GP can refer you to a chest clinic<br />

within two weeks to explore the underlying reason.<br />

If you have a sudden and acute pain that you<br />

suspect is a heart attack, or any or the symptoms<br />

mentioned, call 999! “Taking an aspirin could help<br />

to reduce a clot, but don’t search for aspirin. It’s more<br />

important to make that emergency call and then rest<br />

quietly until help arrives,” says Dr Knapton.<br />

Did you know? Your<br />

heart is about the same<br />

size as two hands<br />

clasped together<br />

centre of your chest, between<br />

your breasts or behind your<br />

breastbone – but 37 per cent<br />

of women have no chest<br />

pain with their heart attacks,”<br />

says Professor Sliwa,<br />

President-Elect of the World<br />

Heart Federation.<br />

Spreading pain or<br />

discomfort in other areas of<br />

your upper body – such as<br />

your arms, back, jaw, neck or<br />

stomach – are also warning<br />

signs, and one in four women<br />

whose heart attacks have<br />

gone unrecognised have had<br />

these less obvious symptoms.<br />

Shortness of breath,<br />

unexplained weakness or<br />

fatigue, anxiety or unusual<br />

nervousness can also be<br />

surprising signs. “Indigestion,<br />

gas-like pain, cold sweats,<br />

nausea, light-headedness and<br />

collapse are also signs that<br />

are often mistaken for being<br />

something less serious,” says<br />

Professor Sliwa.<br />

Take note if you are feeling<br />

sick, sweaty, breathless or<br />

light-headed or generally<br />

feel unwell or lethargic with<br />

associated chest pain or<br />

discomfort.<br />

Women’s hearts<br />

are different<br />

“You have different risk<br />

factors to men,” says Professor<br />

Sliwa. “Women are more at<br />

risk of developing high blood<br />

pressure before the age of 45<br />

than men, putting strain on<br />

their hearts for longer, and<br />

you’re more likely to become<br />

obese. Women are also more<br />

likely to take up smoking<br />

than men. All these things are<br />

major risk factors for heart<br />

disease.”<br />

Did you know?<br />

A woman’s heartbeat is faster than a<br />

man’s by almost eight beats a minute<br />

stay healthy<br />

6ways to lower<br />

your risk<br />

1<br />

If you do one thing, GIVE UP SMOKING. As<br />

a woman, even two or three cigarettes a day<br />

double your risk of a heart attack (a man’s<br />

risk is doubled with five or six cigarettes a day).<br />

2Research suggests that HAPPINESS and<br />

a strong sense of wellbeing can<br />

have an impact on our heart health. Make a<br />

point of doing things that will lift your mood – a<br />

chat with a friend or watching a funny film could<br />

boost your heart health.<br />

3<br />

“You should also TAKE MORE<br />

EXERCISE. Try not to be put off if the<br />

guidelines seem unachievable. The<br />

recommended 150 minutes of exercise per<br />

week can feel daunting, but do<br />

whatever amount you can manage<br />

– it may well spur you on to do<br />

more. Don’t think, ‘it’s too<br />

late for me’ – the earlier you<br />

start improving your lifestyle<br />

the more you will gain,” says Dr<br />

Knapton. If you do less than one<br />

hour’s exercise a week you have nearly a 50 per cent<br />

higher chance of developing coronary heart disease<br />

than a woman who does three hours a week.<br />

4<br />

Even if you take lots of exercise, you’ve<br />

more than double the usual risk of a<br />

suffering a heart attack if you’re also obese<br />

(which means you have a BMI of 30 or more).<br />

It’s essential to WATCH YOUR WEIGHT and a<br />

traditional Mediterranean diet, rich in vegetables,<br />

oily fish and wholegrains, naturally includes most<br />

of the key diet changes that will help to keep your<br />

heart healthy.<br />

5Women should stick to the<br />

alcohol guidelines and drink no<br />

more than 2 or 3 units a day (for men the<br />

limit is 3 or 4 units). Over time, drinking too<br />

much alcohol can put you at risk of heart attack<br />

and stroke.<br />

6<br />

KNOW YOUR NUMBERS … Past the age<br />

of 40 you’re entitled to a NHS Health<br />

Check every five years at which your<br />

blood pressure and cholesterol will be tested.<br />

Speak to your GP or Practice nurse.<br />

42 YOURS n EVERY FORTNIGHT<br />

YOURS n EVERY FORTNIGHT 43<br />

PICs: shutterstock

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