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URLhttps://healthy.kaiserpermanente.org/health-wellness/healtharticle.warning-signs-heart-attack-women
Last Crawled2026-04-06 18:15:52 (10 days ago)
First Indexed2022-04-22 04:01:12 (3 years ago)
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Meta TitleHeart attack symptoms in women: 6 warning signs | Kaiser Permanente
Meta DescriptionLearn the early heart attack symptoms in women beyond chest pain. See 6 warning signs and what a heart attack can feel like for women.
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by | October 20, 2025 People often think that heart attacks are something that mostly happen to older men, not women. But heart disease is the leading cause of death for women in the U.S., and only about half of women know this. 1 That’s why it’s important to understand heart attack symptoms in women, which can be different from men. Chest pain is common for both, but  women often have other symptoms too. 2 These can include pain in the jaw, neck, or back, nausea, and shortness of breath. 3  It can make it hard for women to tell if they’re having a heart attack. Women are also more likely to think their heart attack symptoms are caused by anxiety. 4 This misunderstanding — combined with a wider range of symptoms — can cause women to wait longer to get treated. “Several studies have shown that women wait longer to get treatment for a heart attack than men,” says Mingsum Lee, MD, a clinical cardiologist at Kaiser Permanente’s Los Angeles Medical Center. Once you know what to watch for, it’s easier to spot the signs and know when to seek care. Heart attack warning signs in women Recognizing the signs of a heart attack can be life-saving, especially since symptoms in women can be subtle or easily mistaken for other conditions. Chest pain The most common heart attack symptom for women (and men) is chest pain. “About 90% of women and men have chest pain when they’re having a heart attack,” says Dr. Lee. This chest pain and discomfort usually happens after stress — the stress can either be physical, like exercise, or emotional. The pain is usually strong, comes on gradually, and increases in intensity over several minutes. “Typically, the pain feels very deep and it’s hard to localize or pinpoint,” says Dr. Lee. “People generally use terms like ‘pressure,’ ‘squeezing,’ ‘heaviness,’ or ‘tightness’ to describe the sensation in their chest.” Arm, back, neck, or jaw pain A heart attack doesn’t always cause pain just in the chest. It can shoot through your arm, neck, back — or even cause pain in the jaw. Sometimes it builds slowly, getting more intense over time. Since most people expect pain to be in their chest during a heart attack, these other symptoms can be confusing. This is especially true because it may be difficult to pinpoint where the pain started. Stomach pain Nausea and stomach pain may also be heart attack signs for women. “Sometimes people come in late for care because they think they’re having heartburn  or acid reflux,” says Dr. Lee. Heartburn or reflux comes from inflammation in the esophagus — the tube that leads from the throat to the stomach — which is right next to the heart. This can make it hard to tell if it’s discomfort from eating certain foods or a heart attack. “Generally speaking, heartburn can be triggered by certain spicy food, citrus, and alcohol,” she explains. And acid reflux feels worse when you lie down. Shortness of breath You might be having a heart attack if you suddenly have shortness of breath for no apparent reason. It may feel like you have to stop and catch your breath while doing an everyday task. “For example, if you can normally do grocery shopping with no problem, but suddenly you can’t catch your breath while you’re walking down the grocery aisle and you have to stop to rest, that’s a warning sign,” says Dr. Lee. Sweating Sudden sweating plus chest pain is another related heart attack symptom for women. You may break out in a cold sweat or feel clammy while also feeling some chest pain. Fatigue Similarly, chest pain with sudden fatigue may be a sign that you’re having a heart attack. You may feel overly tired for no reason — and the fatigue comes out of nowhere. Your regular activities suddenly become too difficult because you’re extremely tired. How do you know if you’re having a heart attack? Trust your gut. If something feels wrong, listen to your body’s warning signs and get checked out. Pay attention to new or unexpected symptoms. Don’t wait for the classic crushing chest pain — every heart attack looks a little different.  Don’t hesitate to call 911 You might not have all of these heart attack warning signs. But if you’re having any of them, call 911 immediately. Don’t wait. Describe your symptoms and let the 911 operator know you may be having a heart attack.  In her work, Dr. Lee has seen both younger and older women put off going to the doctor — even when they’re feeling heart attack symptoms. “Young women are often focused on being the caretaker for their children or elderly parents, and they don’t come into the hospital because there’s no one else to take care of their children or parents,” she says. On the flip side, Dr. Lee has seen older women who are widowed and live alone not want to bother their children or friends. “These women may be having chest pain, but they don’t want to bother people. So they sit at home and hope the symptoms go away,” she says. Sometimes, they don’t drive and are too embarrassed to ask for help. “I think a lot of times women are used to being the caregivers, so when they themselves need help they aren’t used to asking for it,” Dr. Lee says. This could be another reason why women wait so long to get care for heart attacks. But it’s important to listen to your body and prioritize your health. Bottom line:  If you’re not sure if you’re having a heart attack, go to the hospital to get checked out. “The earlier you come in for medical care,” Dr. Lee says, “the earlier we can start therapy and the less damage there will be to the heart.” Risk factors for heart attack in women In addition to knowing key heart attack symptoms, it’s also important to know if you have risk factors for heart disease. “Many women aren’t aware that they’re at risk for heart attack,” explains Dr. Lee. “So when they start having symptoms, they don’t even consider that it’s a warning sign.” Common risk factors for women include: Certain medical conditions. Women are at higher risk for heart disease if they have diabetes, high blood pressure, high cholesterol, or an inflammatory disease like rheumatoid arthritis or lupus.  Pregnancy complications.  Women who had pregnancy complications like gestational diabetes, gestational hypertension, or preeclampsia are at higher risk for a heart attack later in life. Smoking. Research shows that smoking can increase the risk of heart attack for young people. And women who smoke are 25% more likely to have heart disease than men who smoke. 5 Lifestyle choices. Poor diet, overuse of alcohol, and physical inactivity all increase a woman’s risk for heart attack.  Menopause.  Lower levels of estrogen after menopause can increase the risk of heart attack for women. Taking your health to heart  It’s important to understand your risk factors and be aware of common heart attack symptoms. Another way you can take care of your heart health is by focusing on prevention . Or try these  heart-healthy lifestyle tips , to help reduce your risk. 1  “ About Women and Heart Diseaseï»żï»ż ï»ż ,” Centers for Disease Control and Prevention, cdc.gov, accessed September 25, 2025. 2   If you believe you have an emergency medical condition, call 911 or go to the nearest hospital. For the complete definition of an emergency medical condition, please refer to your  Evidence of Coverage  or other coverage documents. 3  Sophia Wolfermann et al., “ Frequencies and Trends in Myocardial Infarction Symptoms From the Years 1985-2019: A Register-based, Real-world Analysis ï»ż ,”  CJC Open , July 25, 2025. 4  “ Heart Attack Symptoms in Womenï»ż ï»ż ,” American Heart Association, heart.org, accessed February 17, 2025. 5  Ambuj Roy et al., “ Tobacco and Cardiovascular Disease: A Summary of Evidenceï»żï»ż ï»ż ,”  Cardiovascular, Respiratory, and Related Disorders ,   3rd edition, November 17, 2017, accessed September 25, 2025. Last reviewed September 29, 2025 by Columbus D Batiste, MD Tags:
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[Get started at Billing & Claims](https://healthy.kaiserpermanente.org/secure/billing) ### Billing & payments - [Pay monthly premium bill](https://healthy.kaiserpermanente.org/secure/billing) - [Pay medical bills](https://healthy.kaiserpermanente.org/secure/billing) ### Claims & costs - [Submit a claim for reimbursementï»ż](https://fsso-ebiz.kaiserpermanente.org/idp/startSSO.ping?PartnerSpId=HarringtonHealth&TARGET=https://kpclaimservices.com/spoe?tpaTarget=submitFIclaim&sp=HarringtonHealth "Opens in a new window, external") - [Submit a claim for reimbursementï»ż](https://fsso-ebiz.kaiserpermanente.org/idp/startSSO.ping?PartnerSpId=HarringtonHealth&TARGET=https://kpclaimservices.com/spoe?tpaTarget=submitclaim&sp=HarringtonHealth "Opens in a new window, external") - [Review visit-cost summary](https://healthy.kaiserpermanente.org/secure/coverage-costs/claims-summary#/) - [Review visit-cost summaryï»ż](https://fsso-ebiz.kaiserpermanente.org/idp/startSSO.ping?PartnerSpId=HarringtonHealth&TARGET=https://kpclaimservices.com/spoe?tpaTarget=claims&sp=HarringtonHealth "Opens in a new window, external") - [View your out-of-pocket summaryï»ż](https://kpclaimservices.com/Benefits "Opens in a new window, external") - [Get medical cost estimates ï»ż](https://fsso-ebiz.kaiserpermanente.org/idp/startSSO.ping?PartnerSpId=www.thconsumeradvantage.com:kp.org.prod2&TARGET=https://www.thconsumeradvantage.com/mda/librarian/PFActionId/mda.KaiserLoginSSO?SITEID=kporg "Opens in a new window, external") - [Get drug cost estimatesï»ż](https://fsso-ebiz.kaiserpermanente.org/idp/startSSO.ping?PartnerSpId=https://www.okta.com/saml2/service-provider/spyjxsqtdvqheluvdaxs&TARGET=https://www.medimpact.com/sso-relay?pid=sso "Opens in a new window, external") - [Get drug cost estimatesï»ż](https://fsso-ebiz.kaiserpermanente.org/idp/startSSO.ping?PartnerSpId=uhg.prod.orx&TARGET=https://www.optumrx.com/sso/kaiser/login.html?DeepLink=drugPrice "Opens in a new window, external") - [Get drug cost estimatesï»ż](https://fsso-ebiz.kaiserpermanente.org/idp/startSSO.ping?PartnerSpId=uhg.prod.orx&TARGET=https://www.optumrx.com/sso/kaiser/login.html?DeepLink=drugPrice "Opens in a new window, external") - [View explanation of benefitsï»ż](https://fsso-ebiz.kaiserpermanente.org/idp/startSSO.ping?PartnerSpId=HarringtonHealth&TARGET=https://kpclaimservices.com/spoe?tpaTarget=EOBSummary&sp=HarringtonHealth "Opens in a new window, external") ### Need help with billing? - [Help paying your bill](https://healthy.kaiserpermanente.org/help-paying-your-bill) - [Explore billing FAQs](https://healthy.kaiserpermanente.org/support/pay-bills) - [Health & Wellness ![](https://healthy.kaiserpermanente.org/etc.clientlibs/settings/wcm/designs/kporg/kp-foundation/clientlib-modules/styleguide/resources/assets/icons/megamenu-icon-chevron-right-blue.svg) ![](https://healthy.kaiserpermanente.org/etc.clientlibs/settings/wcm/designs/kporg/kp-foundation/clientlib-modules/styleguide/resources/assets/icons/megamenu-icon-chevron-down-white.svg)]() Back ![](https://healthy.kaiserpermanente.org/etc.clientlibs/settings/wcm/designs/kporg/kp-foundation/clientlib-modules/styleguide/resources/assets/icons/megamenu-icon-close.svg) Close ## ![Health & Wellness Icon](https://healthy.kaiserpermanente.org/content/dam/kporg/final/graphics/icons/illustrative/meditation-illustrative.svg) Health & Wellness Explore articles, opportunities, & tips for health conditions and staying fit. [Get started at Health & Wellness](https://healthy.kaiserpermanente.org/health-wellness) ### Ways to stay healthy - [Find fitness offerings & discounts](https://healthy.kaiserpermanente.org/health-wellness/fitness-offerings) - [Get self-care apps](https://healthy.kaiserpermanente.org/health-wellness/mental-health/tools-resources/digital) - [Work with a wellness coach](https://healthy.kaiserpermanente.org/health-wellness/wellness-coaching) - [Take a health assessment](https://healthy.kaiserpermanente.org/health-wellness/health-assessment) - [Get COVID-19 self-test](https://healthy.kaiserpermanente.org/health-wellness/coronavirus-information/testing) ### Resource directories - [Health classes](https://healthy.kaiserpermanente.org/health-wellness/classes-programs) - [Healthy lifestyle articles](https://healthy.kaiserpermanente.org/health-wellness/healthy-living-resource-center) - [Community support](https://healthy.kaiserpermanente.org/health-wellness/social-health) - [Natural medicines](https://healthy.kaiserpermanente.org/health-wellness/natural-medicines) - [Conditions & diseases](https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia) ### Topics of special interest - [Addiction](https://healthy.kaiserpermanente.org/health-wellness/addiction-and-recovery) - [Cancer](https://healthy.kaiserpermanente.org/health-wellness/cancer-care) - [COVID-19](https://healthy.kaiserpermanente.org/health-wellness/coronavirus-information) - [Diabetes](https://healthy.kaiserpermanente.org/health-wellness/diabetes) - [Heart health](https://healthy.kaiserpermanente.org/health-wellness/heart-health) - [Maternity](https://healthy.kaiserpermanente.org/health-wellness/maternity) - [Mental health](https://healthy.kaiserpermanente.org/health-wellness/mental-health) ### Prevention - [Learn about preventive care](https://healthy.kaiserpermanente.org/health-wellness/preventive-care) - [Exercise & get fit](https://healthy.kaiserpermanente.org/health-wellness/fitness-and-exercise) - [Eat healthy](https://healthy.kaiserpermanente.org/health-wellness/healthy-eating) - [Get a flu shot](https://healthy.kaiserpermanente.org/health-wellness/flu) - [Get a COVID-19 shot](https://healthy.kaiserpermanente.org/health-wellness/coronavirus-information/vaccine-appointments) - [Plan ahead for RSV](https://healthy.kaiserpermanente.org/health-wellness/rsv) - [Learn about respiratory care](https://healthy.kaiserpermanente.org/health-wellness/respiratory-infection) - [Learn](https://healthy.kaiserpermanente.org/learn) - [Shop Plans](https://healthy.kaiserpermanente.org/shop-plans) - [Doctors & Locations](https://healthy.kaiserpermanente.org/doctors-locations) - [Health & Wellness](https://healthy.kaiserpermanente.org/health-wellness) - [Get Care](https://healthy.kaiserpermanente.org/get-care) - [Pay Bills](https://healthy.kaiserpermanente.org/billpay) ![User Account icon](https://healthy.kaiserpermanente.org/etc.clientlibs/settings/wcm/designs/kporg/kp-foundation/clientlib-modules/styleguide/resources/assets/icons/profilecircle.svg) My Account - [Profile & Preferences](https://healthy.kaiserpermanente.org/secure/profile) - [My Documents](https://healthy.kaiserpermanente.org/secure/my-documents) - [Support Center](https://healthy.kaiserpermanente.org/secure/support) - [![Sign Out icon](https://healthy.kaiserpermanente.org/etc.clientlibs/settings/wcm/designs/kporg/kp-foundation/clientlib-modules/styleguide/resources/assets/icons/sign-out.svg) Sign out](https://healthy.kaiserpermanente.org/health/mycare/logout.wpp) Language ![](https://healthy.kaiserpermanente.org/etc.clientlibs/settings/wcm/designs/kporg/kp-foundation/clientlib-modules/styleguide/resources/assets/icons/chevron-down-white.svg) - [Home](https://healthy.kaiserpermanente.org/secure/inner-door) - [Appointments & Care ![](https://healthy.kaiserpermanente.org/etc.clientlibs/settings/wcm/designs/kporg/kp-foundation/clientlib-modules/styleguide/resources/assets/icons/megamenu-icon-chevron-right-blue.svg) ![](https://healthy.kaiserpermanente.org/etc.clientlibs/settings/wcm/designs/kporg/kp-foundation/clientlib-modules/styleguide/resources/assets/icons/megamenu-icon-chevron-down-white.svg)]() Back ![](https://healthy.kaiserpermanente.org/etc.clientlibs/settings/wcm/designs/kporg/kp-foundation/clientlib-modules/styleguide/resources/assets/icons/megamenu-icon-close.svg) Close ## ![Appointments and Care icon](https://healthy.kaiserpermanente.org/content/dam/kporg/final/graphics/icons/illustrative/membership-id-illustrative.svg) Appointments & Care Find the care you need, from 24/7 advice to on-demand or scheduled visits. [Get started at Get Care](https://healthy.kaiserpermanente.org/secure/get-care) ### Care options - [Get Care Now](https://healthy.kaiserpermanente.org/secure/appointments/on-demand-care/care-selection) - [Guide me to care](https://healthy.kaiserpermanente.org/secure/get-care/select-a-member) - [Start an e-visit](https://healthy.kaiserpermanente.org/secure/appointments/evisits) - [Schedule an appointment](https://healthy.kaiserpermanente.org/secure/appointments/schedule) - [View appointments and visits](https://healthy.kaiserpermanente.org/secure/appointments/past-visits) - [View all care options](https://healthy.kaiserpermanente.org/secure/get-care) ### Messaging - [Send a message](https://healthy.kaiserpermanente.org/secure/inner-door/mychart-jump?label=ask-question) - [Go to Care Message Center](https://healthy.kaiserpermanente.org/secure/inner-door/mychart-jump?label=message-center) - [Go to Member Support Messages](https://healthy.kaiserpermanente.org/secure/messages-myc#/landing%20) ### Doctors & locations - [Find all doctors & locations](https://healthy.kaiserpermanente.org/doctors-locations#/simple-form) - [Find urgent care](https://healthy.kaiserpermanente.org/doctors-locations#/facility-results?services_label=Urgent%20Care) - [Find mental health resources](https://healthy.kaiserpermanente.org/health-wellness/mental-health) - [Find emergency care](https://healthy.kaiserpermanente.org/doctors-locations#/facility-results?services_label=Emergency%20Services) - [Learn about care while traveling](https://healthy.kaiserpermanente.org/get-care/traveling) ### Medical records - [Test results](https://healthy.kaiserpermanente.org/secure/inner-door/mychart-jump?label=test-results) - [Upcoming tests and procedures](https://healthy.kaiserpermanente.org/secure/inner-door/mychart-jump?label=upcoming-test-procedures) - [Questionnaires](https://healthy.kaiserpermanente.org/secure/inner-door/mychart-jump?label=questionnaires) - [Immunizations](https://healthy.kaiserpermanente.org/secure/inner-door/mychart-jump?label=immunizations) - [Life care planning](https://healthy.kaiserpermanente.org/secure/medical-record/life-care-planning) - [Request records, forms and certifications](https://healthy.kaiserpermanente.org/maryland-virginia-washington-dc/support/medical-requests-myc) - [Sharing Hub](https://healthy.kaiserpermanente.org/secure/inner-door/mychart-jump?label=sharing-hub) - [Pharmacy ![](https://healthy.kaiserpermanente.org/etc.clientlibs/settings/wcm/designs/kporg/kp-foundation/clientlib-modules/styleguide/resources/assets/icons/megamenu-icon-chevron-right-blue.svg) ![](https://healthy.kaiserpermanente.org/etc.clientlibs/settings/wcm/designs/kporg/kp-foundation/clientlib-modules/styleguide/resources/assets/icons/megamenu-icon-chevron-down-white.svg)]() Back ![](https://healthy.kaiserpermanente.org/etc.clientlibs/settings/wcm/designs/kporg/kp-foundation/clientlib-modules/styleguide/resources/assets/icons/megamenu-icon-close.svg) Close ## ![Pharmacy Icon](https://healthy.kaiserpermanente.org/content/dam/kporg/final/graphics/icons/illustrative/pill-bottle-illustrative.svg) Pharmacy Conveniently order and manage medications for you and your family. [Get started with Pharmacy](https://healthy.kaiserpermanente.org/secure/pharmacy/landingPage) ### Refilling medications - [Order medications](https://healthy.kaiserpermanente.org/maryland-virginia-washington-dc/secure/pharmacy/landingPage) - [Find a KP pharmacy](https://healthy.kaiserpermanente.org/secure/pharmacy/pharmacy-locator) ### Managing medications - [Review all your medications](https://healthy.kaiserpermanente.org/secure/pharmacy/medication-list) - [Set refill reminders](https://healthy.kaiserpermanente.org/secure/pharmacy/refillReminders) - [Manage delivery addresses](https://healthy.kaiserpermanente.org/secure/pharmacy/delivery-addresses) ### Need help with medications? - [Explore our drug encyclopedia](https://healthy.kaiserpermanente.org/health-wellness/drug-encyclopedia) - [Health & Wellness ![](https://healthy.kaiserpermanente.org/etc.clientlibs/settings/wcm/designs/kporg/kp-foundation/clientlib-modules/styleguide/resources/assets/icons/megamenu-icon-chevron-right-blue.svg) ![](https://healthy.kaiserpermanente.org/etc.clientlibs/settings/wcm/designs/kporg/kp-foundation/clientlib-modules/styleguide/resources/assets/icons/megamenu-icon-chevron-down-white.svg)]() Back ![](https://healthy.kaiserpermanente.org/etc.clientlibs/settings/wcm/designs/kporg/kp-foundation/clientlib-modules/styleguide/resources/assets/icons/megamenu-icon-close.svg) Close ## ![Health & Wellness Icon](https://healthy.kaiserpermanente.org/content/dam/kporg/final/graphics/icons/illustrative/meditation-illustrative.svg) Health & Wellness Explore articles, opportunities, & tips for health conditions and staying fit. 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[Back]() Print Opens a dialog # Heart attack symptoms in women: 6 warning signs by Kaiser Permanente \| October 20, 2025 ![Two people stretching their legs together outside](https://healthy.kaiserpermanente.org/content/dam/kp/chub/images/2-women-stretching.jpeg) People often think that heart attacks are something that mostly happen to older men, not women. But heart disease is the leading cause of death for women in the U.S., and only about half of women know this.1 That’s why it’s important to understand heart attack symptoms in women, which can be different from men. Chest pain is common for both, but women often have other symptoms too.2 These can include pain in the jaw, neck, or back, nausea, and shortness of breath.3 It can make it hard for women to tell if they’re having a heart attack. Women are also more likely to think their heart attack symptoms are caused by anxiety.4 This misunderstanding — combined with a wider range of symptoms — can cause women to wait longer to get treated. “Several studies have shown that women wait longer to get treatment for a heart attack than men,” says Mingsum Lee, MD, a clinical cardiologist at Kaiser Permanente’s Los Angeles Medical Center. Once you know what to watch for, it’s easier to spot the signs and know when to seek care. ## Heart attack warning signs in women Recognizing the signs of a heart attack can be life-saving, especially since symptoms in women can be subtle or easily mistaken for other conditions. ### Chest pain The most common heart attack symptom for women (and men) is chest pain. “About 90% of women and men have chest pain when they’re having a heart attack,” says Dr. Lee. This chest pain and discomfort usually happens after stress — the stress can either be physical, like exercise, or emotional. The pain is usually strong, comes on gradually, and increases in intensity over several minutes. “Typically, the pain feels very deep and it’s hard to localize or pinpoint,” says Dr. Lee. “People generally use terms like ‘pressure,’ ‘squeezing,’ ‘heaviness,’ or ‘tightness’ to describe the sensation in their chest.” ### Arm, back, neck, or jaw pain A heart attack doesn’t always cause pain just in the chest. It can shoot through your arm, neck, back — or even cause pain in the jaw. Sometimes it builds slowly, getting more intense over time. Since most people expect pain to be in their chest during a heart attack, these other symptoms can be confusing. This is especially true because it may be difficult to pinpoint where the pain started. ### Stomach pain Nausea and stomach pain may also be heart attack signs for women. “Sometimes people come in late for care because they think they’re having [heartburn](https://healthy.kaiserpermanente.org/georgia/health-wellness/healtharticle.heartburn-or-heart-attack-how-to-tell-the-difference) or acid reflux,” says Dr. Lee. Heartburn or reflux comes from inflammation in the esophagus — the tube that leads from the throat to the stomach — which is right next to the heart. This can make it hard to tell if it’s discomfort from eating certain foods or a heart attack. “Generally speaking, heartburn can be triggered by certain spicy food, citrus, and alcohol,” she explains. And acid reflux feels worse when you lie down. ### Shortness of breath You might be having a heart attack if you suddenly have shortness of breath for no apparent reason. It may feel like you have to stop and catch your breath while doing an everyday task. “For example, if you can normally do grocery shopping with no problem, but suddenly you can’t catch your breath while you’re walking down the grocery aisle and you have to stop to rest, that’s a warning sign,” says Dr. Lee. ### Sweating Sudden sweating plus chest pain is another related heart attack symptom for women. You may break out in a cold sweat or feel clammy while also feeling some chest pain. ### Fatigue Similarly, chest pain with sudden fatigue may be a sign that you’re having a heart attack. You may feel overly tired for no reason — and the fatigue comes out of nowhere. Your regular activities suddenly become too difficult because you’re extremely tired. ## How do you know if you’re having a heart attack? Trust your gut. If something feels wrong, listen to your body’s warning signs and get checked out. Pay attention to new or unexpected symptoms. Don’t wait for the classic crushing chest pain — every heart attack looks a little different. ## Don’t hesitate to call 911 You might not have all of these heart attack warning signs. But if you’re having any of them, call **911** immediately. Don’t wait. Describe your symptoms and let the 911 operator know you may be having a heart attack. In her work, Dr. Lee has seen both younger and older women put off going to the doctor — even when they’re feeling heart attack symptoms. “Young women are often focused on being the caretaker for their children or elderly parents, and they don’t come into the hospital because there’s no one else to take care of their children or parents,” she says. On the flip side, Dr. Lee has seen older women who are widowed and live alone not want to bother their children or friends. “These women may be having chest pain, but they don’t want to bother people. So they sit at home and hope the symptoms go away,” she says. Sometimes, they don’t drive and are too embarrassed to ask for help. “I think a lot of times women are used to being the caregivers, so when they themselves need help they aren’t used to asking for it,” Dr. Lee says. This could be another reason why women wait so long to get care for heart attacks. But it’s important to listen to your body and prioritize your health. **Bottom line:** If you’re not sure if you’re having a heart attack, go to the hospital to get checked out. “The earlier you come in for medical care,” Dr. Lee says, “the earlier we can start therapy and the less damage there will be to the heart.” ## Risk factors for heart attack in women In addition to knowing key heart attack symptoms, it’s also important to know if you have risk factors for heart disease. “Many women aren’t aware that they’re at risk for heart attack,” explains Dr. Lee. “So when they start having symptoms, they don’t even consider that it’s a warning sign.” Common risk factors for women include: - **Certain medical conditions.** Women are at higher risk for heart disease if they have diabetes, high blood pressure, high cholesterol, or an inflammatory disease like rheumatoid arthritis or lupus. - **Pregnancy complications.** Women who had pregnancy complications like gestational diabetes, gestational hypertension, or preeclampsia are at higher risk for a heart attack later in life. - **Smoking.** Research shows that smoking can increase the risk of heart attack for young people. And women who smoke are 25% more likely to have heart disease than men who smoke.5 - **Lifestyle choices.** Poor diet, overuse of alcohol, and physical inactivity all increase a woman’s risk for heart attack. - **Menopause.** Lower levels of estrogen after menopause can increase the risk of heart attack for women. ## Taking your health to heart It’s important to understand your risk factors and be aware of common heart attack symptoms. Another way you can take care of your heart health is by focusing on [prevention](https://healthy.kaiserpermanente.org/health-wellness/heart-health/prevention). Or try these [heart-healthy lifestyle tips](https://healthy.kaiserpermanente.org/health-wellness/healtharticle.6-simple-habits-for-a-heart-healthy-lifestyle), to help reduce your risk. 1 “[About Women and Heart Diseaseï»żï»żï»ż](https://www.cdc.gov/heart-disease/about/women-and-heart-disease.html "Opens in a new window, external, Opens in a new window, external, Opens in a new window, external"),” Centers for Disease Control and Prevention, cdc.gov, accessed September 25, 2025. 2 If you believe you have an emergency medical condition, call 911 or go to the nearest hospital. For the complete definition of an emergency medical condition, please refer to your *Evidence of Coverage* or other coverage documents. 3 [Sophia Wolfermann et al., “]()[Frequencies and Trends in Myocardial Infarction Symptoms From the Years 1985-2019: A Register-based, Real-world Analysisï»ż](https://www.sciencedirect.com/science/article/pii/S2589790X25005189 "Opens in a new window, external, Opens in a new window, external, Opens in a new window, external"),” *CJC Open*, July 25, 2025. 4 “[Heart Attack Symptoms in Womenï»żï»ż](https://www.heart.org/en/health-topics/heart-attack/warning-signs-of-a-heart-attack/heart-attack-symptoms-in-women "Opens in a new window, external, Opens in a new window, external"),” American Heart Association, heart.org, accessed February 17, 2025. 5 Ambuj Roy et al., “[Tobacco and Cardiovascular Disease: A Summary of Evidenceï»żï»żï»ż](https://www.ncbi.nlm.nih.gov/books/NBK525170/ "Opens in a new window, external, Opens in a new window, external, Opens in a new window, external"),” *Cardiovascular, Respiratory, and Related Disorders*,3rd edition, November 17, 2017, accessed September 25, 2025. Last reviewed September 29, 2025 by Columbus D Batiste, MD Tags: - Heart health - Preventive care - Women's health DHO article page Share *** © 2025 Kaiser Permanente. 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by \| October 20, 2025 ![Two people stretching their legs together outside](https://healthy.kaiserpermanente.org/content/dam/kp/chub/images/2-women-stretching.jpeg) People often think that heart attacks are something that mostly happen to older men, not women. But heart disease is the leading cause of death for women in the U.S., and only about half of women know this.1 That’s why it’s important to understand heart attack symptoms in women, which can be different from men. Chest pain is common for both, but women often have other symptoms too.2 These can include pain in the jaw, neck, or back, nausea, and shortness of breath.3 It can make it hard for women to tell if they’re having a heart attack. Women are also more likely to think their heart attack symptoms are caused by anxiety.4 This misunderstanding — combined with a wider range of symptoms — can cause women to wait longer to get treated. “Several studies have shown that women wait longer to get treatment for a heart attack than men,” says Mingsum Lee, MD, a clinical cardiologist at Kaiser Permanente’s Los Angeles Medical Center. Once you know what to watch for, it’s easier to spot the signs and know when to seek care. ## Heart attack warning signs in women Recognizing the signs of a heart attack can be life-saving, especially since symptoms in women can be subtle or easily mistaken for other conditions. ### Chest pain The most common heart attack symptom for women (and men) is chest pain. “About 90% of women and men have chest pain when they’re having a heart attack,” says Dr. Lee. This chest pain and discomfort usually happens after stress — the stress can either be physical, like exercise, or emotional. The pain is usually strong, comes on gradually, and increases in intensity over several minutes. “Typically, the pain feels very deep and it’s hard to localize or pinpoint,” says Dr. Lee. “People generally use terms like ‘pressure,’ ‘squeezing,’ ‘heaviness,’ or ‘tightness’ to describe the sensation in their chest.” ### Arm, back, neck, or jaw pain A heart attack doesn’t always cause pain just in the chest. It can shoot through your arm, neck, back — or even cause pain in the jaw. Sometimes it builds slowly, getting more intense over time. Since most people expect pain to be in their chest during a heart attack, these other symptoms can be confusing. This is especially true because it may be difficult to pinpoint where the pain started. ### Stomach pain Nausea and stomach pain may also be heart attack signs for women. “Sometimes people come in late for care because they think they’re having [heartburn](https://healthy.kaiserpermanente.org/georgia/health-wellness/healtharticle.heartburn-or-heart-attack-how-to-tell-the-difference) or acid reflux,” says Dr. Lee. Heartburn or reflux comes from inflammation in the esophagus — the tube that leads from the throat to the stomach — which is right next to the heart. This can make it hard to tell if it’s discomfort from eating certain foods or a heart attack. “Generally speaking, heartburn can be triggered by certain spicy food, citrus, and alcohol,” she explains. And acid reflux feels worse when you lie down. ### Shortness of breath You might be having a heart attack if you suddenly have shortness of breath for no apparent reason. It may feel like you have to stop and catch your breath while doing an everyday task. “For example, if you can normally do grocery shopping with no problem, but suddenly you can’t catch your breath while you’re walking down the grocery aisle and you have to stop to rest, that’s a warning sign,” says Dr. Lee. ### Sweating Sudden sweating plus chest pain is another related heart attack symptom for women. You may break out in a cold sweat or feel clammy while also feeling some chest pain. ### Fatigue Similarly, chest pain with sudden fatigue may be a sign that you’re having a heart attack. You may feel overly tired for no reason — and the fatigue comes out of nowhere. Your regular activities suddenly become too difficult because you’re extremely tired. ## How do you know if you’re having a heart attack? Trust your gut. If something feels wrong, listen to your body’s warning signs and get checked out. Pay attention to new or unexpected symptoms. Don’t wait for the classic crushing chest pain — every heart attack looks a little different. ## Don’t hesitate to call 911 You might not have all of these heart attack warning signs. But if you’re having any of them, call **911** immediately. Don’t wait. Describe your symptoms and let the 911 operator know you may be having a heart attack. In her work, Dr. Lee has seen both younger and older women put off going to the doctor — even when they’re feeling heart attack symptoms. “Young women are often focused on being the caretaker for their children or elderly parents, and they don’t come into the hospital because there’s no one else to take care of their children or parents,” she says. On the flip side, Dr. Lee has seen older women who are widowed and live alone not want to bother their children or friends. “These women may be having chest pain, but they don’t want to bother people. So they sit at home and hope the symptoms go away,” she says. Sometimes, they don’t drive and are too embarrassed to ask for help. “I think a lot of times women are used to being the caregivers, so when they themselves need help they aren’t used to asking for it,” Dr. Lee says. This could be another reason why women wait so long to get care for heart attacks. But it’s important to listen to your body and prioritize your health. **Bottom line:** If you’re not sure if you’re having a heart attack, go to the hospital to get checked out. “The earlier you come in for medical care,” Dr. Lee says, “the earlier we can start therapy and the less damage there will be to the heart.” ## Risk factors for heart attack in women In addition to knowing key heart attack symptoms, it’s also important to know if you have risk factors for heart disease. “Many women aren’t aware that they’re at risk for heart attack,” explains Dr. Lee. “So when they start having symptoms, they don’t even consider that it’s a warning sign.” Common risk factors for women include: - **Certain medical conditions.** Women are at higher risk for heart disease if they have diabetes, high blood pressure, high cholesterol, or an inflammatory disease like rheumatoid arthritis or lupus. - **Pregnancy complications.** Women who had pregnancy complications like gestational diabetes, gestational hypertension, or preeclampsia are at higher risk for a heart attack later in life. - **Smoking.** Research shows that smoking can increase the risk of heart attack for young people. And women who smoke are 25% more likely to have heart disease than men who smoke.5 - **Lifestyle choices.** Poor diet, overuse of alcohol, and physical inactivity all increase a woman’s risk for heart attack. - **Menopause.** Lower levels of estrogen after menopause can increase the risk of heart attack for women. ## Taking your health to heart It’s important to understand your risk factors and be aware of common heart attack symptoms. Another way you can take care of your heart health is by focusing on [prevention](https://healthy.kaiserpermanente.org/health-wellness/heart-health/prevention). Or try these [heart-healthy lifestyle tips](https://healthy.kaiserpermanente.org/health-wellness/healtharticle.6-simple-habits-for-a-heart-healthy-lifestyle), to help reduce your risk. 1 “[About Women and Heart Diseaseï»żï»żï»ż](https://www.cdc.gov/heart-disease/about/women-and-heart-disease.html "Opens in a new window, external, Opens in a new window, external, Opens in a new window, external"),” Centers for Disease Control and Prevention, cdc.gov, accessed September 25, 2025. 2 If you believe you have an emergency medical condition, call 911 or go to the nearest hospital. For the complete definition of an emergency medical condition, please refer to your *Evidence of Coverage* or other coverage documents. 3 [Sophia Wolfermann et al., “]()[Frequencies and Trends in Myocardial Infarction Symptoms From the Years 1985-2019: A Register-based, Real-world Analysisï»ż](https://www.sciencedirect.com/science/article/pii/S2589790X25005189 "Opens in a new window, external, Opens in a new window, external, Opens in a new window, external"),” *CJC Open*, July 25, 2025. 4 “[Heart Attack Symptoms in Womenï»żï»ż](https://www.heart.org/en/health-topics/heart-attack/warning-signs-of-a-heart-attack/heart-attack-symptoms-in-women "Opens in a new window, external, Opens in a new window, external"),” American Heart Association, heart.org, accessed February 17, 2025. 5 Ambuj Roy et al., “[Tobacco and Cardiovascular Disease: A Summary of Evidenceï»żï»żï»ż](https://www.ncbi.nlm.nih.gov/books/NBK525170/ "Opens in a new window, external, Opens in a new window, external, Opens in a new window, external"),” *Cardiovascular, Respiratory, and Related Disorders*,3rd edition, November 17, 2017, accessed September 25, 2025. Last reviewed September 29, 2025 by Columbus D Batiste, MD Tags:
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