🕷️ Crawler Inspector

URL Lookup

Direct Parameter Lookup

Raw Queries and Responses

1. Shard Calculation

Query:
Response:
Calculated Shard: 181 (from laksa066)

2. Crawled Status Check

Query:
Response:

3. Robots.txt Check

Query:
Response:

4. Spam/Ban Check

Query:
Response:

5. Seen Status Check

ℹ️ Skipped - page is already crawled

📄
INDEXABLE
CRAWLED
4 days ago
🤖
ROBOTS ALLOWED

Page Info Filters

FilterStatusConditionDetails
HTTP statusPASSdownload_http_code = 200HTTP 200
Age cutoffPASSdownload_stamp > now() - 6 MONTH0.2 months ago
History dropPASSisNull(history_drop_reason)No drop reason
Spam/banPASSfh_dont_index != 1 AND ml_spam_score = 0ml_spam_score=0
CanonicalPASSmeta_canonical IS NULL OR = '' OR = src_unparsedNot set

Page Details

PropertyValue
URLhttps://www.businessinsider.com/what-are-the-signs-of-a-heart-attack
Last Crawled2026-04-17 21:37:48 (4 days ago)
First Indexed2020-02-02 12:30:53 (6 years ago)
HTTP Status Code200
Content
Meta TitleWhat Are the Signs of a Heart Attack? How to Know If You're at Risk - Business Insider
Meta DescriptionMajor signs of a heart attack include chest heaviness and upper body discomfort. But there are also subtle signs and risk factors to look out for.
Meta Canonicalnull
Boilerpipe Text
By You may feel strong pain in the center to left side of your chest, but there are also more subtle signs of a heart attack. Layla Bird/Getty Images Feb 2, 2020, 8:49 PM GMT The main signs of a heart attack are opressive discomfort or heaviness in the center of the chest, paired with discomfort in the neck, throat, jaw, and the left side of the chest or arm.  Women and older adults may experience subtler signs of a heart attack such as unusual fatigue, shortness of breath, nausea, cold sweats, or indigestion.  If you feel these symptoms — especially if you also have common risk factors for a heart attack — you should call 911 and seek medical attention immediately.  This article was reviewed by  Steven Reisman, MD,  a cardiologist and the director of  New York Cardiac Diagnostic Center.   Visit Insider's homepage for more stories . In the US, someone has a heart attack every 40 seconds, according to the Centers for Disease Control and Prevention . But contrary to popular belief, chest pain is not always present during a heart attack.  Here's what you need to know about the main warning signs and risk factors of a heart attack. These are the main signs of a heart attack  According to Purvi Parwani , MD, and director of the Women's Heart Health Clinic at Loma Linda University International Heart Institute, you should seek medical attention immediately if experiencing the following symptoms: An oppressive discomfort or heaviness in the chest, typically in the center of the chest.  Chest discomfort that is also paired with discomfort in other areas of the upper body, like the neck, throat, jaw, and left side of the chest and arm. However, in women and older adults, the earliest symptoms are often more subtle than chest discomfort, says Richard Wright , MD, a cardiologist at Pacific Heart Institute.  Women are more likely to experience nausea, shortness of breath, indigestion, unusual fatigue, and cold sweats with a heart attack because they often experience blockages in smaller blood vessels , not just in their main arteries. They are also typically older when they have their first heart attack. Women experience their first heart attack at around age 72 whereas for men it's closer to 65.  How to know if you're at risk of a heart attack Even before you experience any symptoms, there are a few key risk factors that may increase your likelihood of having a heart attack.  For example, g rowing older is associated with an increased build-up of plaque in the arteries, which leads to a greater risk of a heart attack. There are also many lifestyle factors associated with an increased risk of heart disease, like frequently smoking cigarettes or not exercising regularly.  Other conditions that may increase heart attack risk include:  Family history of heart disease , with a father or brother who had a heart attack before the age of 55 and a mother or sister who had a heart attack before 65. High cholesterol causes plaque to build up on the walls of the arteries, which can lead to decreased blood flow and blocked arteries.  Hypertension ( high blood pressure ), when left untreated, can damage your blood vessels and your heart. Obesity was recently linked with an increased risk for multiple heart attacks by a study published in the European Journal of Preventative Cardiology . Diabetes can damage blood vessels over time, and the risk of heart disease increases the longer you have diabetes. Elevated levels of C-reactive protein occur when there is inflammation in the body (often indicating a chronic disease) and can increase your chance of heart attack by three times . That being said, it is entirely possible to have a heart attack without these traditional risk factors, according to Parwani.  And even though older people are more likely to have a heart attack, Parwani says that no one should assume they are too young — individuals under the age of 45 still account for 4% to 10% of all heart attacks in the US, according to Harvard Men's Health Watch .  "Generally, there is no difference [in symptoms] between younger and older individuals," Parwani says. However, older people with another disease like diabetes may be more likely to have a silent heart attack or one without any obvious symptoms.  If you're experiencing any symptoms of a heart attack — no matter how small — seek medical attention immediately. Wright recommends contacting a medical professional, going to an emergency room, or calling for paramedic assistance. Related stories about  heart health : How hypertension, heart disease, and stroke are related What causes high blood pressure and how to know if you have hypertension How to lower blood pressure with a heart-healthy diet and exercise 7 of the most dangerous things that put you at risk of a heart attack What is a good resting heart rate, for adults and kids What is tachycardia, and when a high heart rate is dangerous How to lower cholesterol with the right diet and exercise regimens Read the original article on INSIDER . Follow INSIDER on Twitter . Health Heart health Read next
Markdown
[Subscribe](https://www.businessinsider.com/subscription) [Newsletters](https://www.businessinsider.com/subscription/newsletter) [Business](https://www.businessinsider.com/business) [Strategy](https://www.businessinsider.com/strategy) [Economy](https://www.businessinsider.com/economy) [Finance](https://www.businessinsider.com/finance) [Retail](https://www.businessinsider.com/retail) [Advertising](https://www.businessinsider.com/advertising) [Careers](https://www.businessinsider.com/careers) [Law](https://www.businessinsider.com/law) [Media](https://www.businessinsider.com/media) [Real Estate](https://www.businessinsider.com/real-estate) [Small Business](https://www.businessinsider.com/smallbusiness) [The Better Work Project](https://www.businessinsider.com/sc/introducing-the-better-work-project-hub) [Personal Finance](https://www.businessinsider.com/personal-finance) [Tech](https://www.businessinsider.com/tech) [Science](https://www.businessinsider.com/science) [AI](https://www.businessinsider.com/artificial-intelligence) [Enterprise](https://www.businessinsider.com/enterprise) [Transportation](https://www.businessinsider.com/transportation) [Startups](https://www.businessinsider.com/startups) [Innovation](https://www.businessinsider.com/innovation) [Markets](https://markets.businessinsider.com/) [Stocks](https://markets.businessinsider.com/stocks) [Indices](https://markets.businessinsider.com/indices) [Commodities](https://markets.businessinsider.com/commodities) [Crypto](https://markets.businessinsider.com/cryptocurrencies) [Currencies](https://markets.businessinsider.com/currencies) [ETFs](https://markets.businessinsider.com/etfs) [Lifestyle](https://www.businessinsider.com/lifestyle) [Entertainment](https://www.businessinsider.com/entertainment) [Culture](https://www.businessinsider.com/culture) [Travel](https://www.businessinsider.com/travel) [Food](https://www.businessinsider.com/food) [Health](https://www.businessinsider.com/health) [Education](https://www.businessinsider.com/education) [Parenting](https://www.businessinsider.com/parenting) [Military & Defense](https://www.businessinsider.com/defense) [Politics](https://www.businessinsider.com/politics) [Reviews](https://www.businessinsider.com/guides) [Home](https://www.businessinsider.com/guides/home) [Kitchen](https://www.businessinsider.com/guides/kitchen) [Style](https://www.businessinsider.com/guides/style) [Streaming](https://www.businessinsider.com/guides/streaming) [Pets](https://www.businessinsider.com/guides/pets) [Tech](https://www.businessinsider.com/guides/tech) [Deals](https://www.businessinsider.com/guides/deals) [Gifts](https://www.businessinsider.com/guides/gifts) [Tickets](https://www.businessinsider.com/guides/tickets) [Video](https://www.businessinsider.com/video) [Big Business](https://www.businessinsider.com/show/big-business) [So Expensive](https://www.businessinsider.com/show/so-expensive) [View From Above](https://www.businessinsider.com/show/view-from-above) [Small Business](https://www.businessinsider.com/show/small-business) [Authorized Account](https://www.businessinsider.com/show/authorized-account) [Risky Business](https://www.businessinsider.com/show/risky-business) [Boot Camp](https://www.businessinsider.com/show/boot-camp) [Still Standing](https://www.businessinsider.com/show/still-standing) [How Crime Works](https://www.businessinsider.com/show/how-crime-works) [Life Lessons](https://www.businessinsider.com/show/life-lessons) [Subscribe](https://www.businessinsider.com/subscription) [My account]() [Log in]() [Newsletters](https://www.businessinsider.com/subscription/newsletter) US edition [Deutschland & Österreich](https://www.businessinsider.de/?IR=C) [España](https://businessinsider.es/) [Japan](https://www.businessinsider.jp/) [Polska](https://www.businessinsider.com.pl/?IR=C) [TW 全球中文版](https://www.businessinsider.tw/) [Get the app](https://www.businessinsider.com/app "Get the Business Insider app") [News](https://www.businessinsider.com/news) # What are the signs of a heart attack? How to know if you're at risk By [Mary Sauer](https://www.businessinsider.com/author/mary-sauer) ![heart attack](https://i.insider.com/5e3333983ac0c968d44d120e?width=700) You may feel strong pain in the center to left side of your chest, but there are also more subtle signs of a heart attack. Layla Bird/Getty Images Feb 2, 2020, 8:49 PM GMT Share Copy link [Email](<mailto:?subject=What are the signs of a heart attack? How to know if you're at risk&body=What%20are%20the%20signs%20of%20a%20heart%20attack%3F%20How%20to%20know%20if%20you're%20at%20risk%0D%0A%0D%0Ahttps%3A%2F%2Fwww.businessinsider.com%2Fwhat-are-the-signs-of-a-heart-attack&> "Email") Facebook WhatsApp X LinkedIn Bluesky Threads An icon in the shape of a lightning bolt. Impact Link Save Saved [Read in app](https://insider-app.onelink.me/4cpG/?af_js_web=true&af_ss_ver=2_3_0&af_dp=insider%3A%2F%2Fbi%2Fpost%2Fwhat-are-the-signs-of-a-heart-attack&af_force_deeplink=true&is_retargeting=true&deep_link_value=https%3A%2F%2Fwww.businessinsider.com%2Fwhat-are-the-signs-of-a-heart-attack&pid=businessinsider&c=post_page_share_bar_v2_smart_4.13.23 "Download the app") - **The main signs of a heart attack are opressive discomfort or heaviness in the center of the chest, paired with discomfort in the neck, throat, jaw, and the left side of the chest or arm.** - **Women and older adults may experience subtler signs of a heart attack such as unusual fatigue, shortness of breath, nausea, cold sweats, or indigestion.** - **If you feel these symptoms — especially if you also have common risk factors for a heart attack — you should call 911 and seek medical attention immediately.** - **This article was reviewed by [Steven Reisman, MD,](https://newyorkcardiac.com/dr-steven-reisman-cardiologist-nyc) a cardiologist and the director of [New York Cardiac Diagnostic Center.](https://newyorkcardiac.com/)** - [Visit Insider's homepage for more stories](https://www.businessinsider.com/?hprecirc-bullet). In the US, someone has a heart attack every 40 seconds, according to the [Centers for Disease Control and Prevention](https://www.cdc.gov/heartdisease/facts.htm). But contrary to popular belief, chest pain is not always present during a heart attack. Here's what you need to know about the main warning signs and risk factors of a heart attack. ## These are the main signs of a heart attack According to [Purvi Parwani](https://lluh.org/provider/parwani-purvi), MD, and director of the Women's Heart Health Clinic at Loma Linda University International Heart Institute, you should seek medical attention immediately if experiencing the following symptoms: - An oppressive discomfort or heaviness in the chest, typically in the center of the chest. - Chest discomfort that is also paired with discomfort in other areas of the upper body, like the neck, throat, jaw, and left side of the chest and arm. However, in women and older adults, the earliest symptoms are often more subtle than chest discomfort, says [Richard Wright](https://www.pacificheart.com/richard-f-wright-md), MD, a cardiologist at Pacific Heart Institute. Women are more likely to experience nausea, shortness of breath, indigestion, unusual fatigue, and cold sweats with a heart attack because they often [experience blockages in smaller blood vessels](https://www.mayoclinic.org/diseases-conditions/heart-disease/in-depth/heart-disease/art-20046167), not just in their main arteries. They are also [typically older](https://www.health.harvard.edu/heart-health/the-heart-attack-gender-gap) when they have their first heart attack. Women experience their first heart attack at around age 72 whereas for men it's closer to 65. ## How to know if you're at risk of a heart attack Even before you experience any symptoms, there are a few key risk factors that may increase your likelihood of having a heart attack. For example, g[rowing older](https://www.nia.nih.gov/health/heart-health-and-aging) is associated with an increased build-up of plaque in the arteries, which leads to a greater risk of a heart attack. There are also many lifestyle factors associated with an increased risk of heart disease, like frequently [smoking](https://my.clevelandclinic.org/health/articles/17488-smoking) cigarettes or not [exercising](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4241367/) regularly. Other conditions that may increase heart attack risk include: - **Family history** of [heart disease](https://www.ucihealth.org/blog/2017/02/family-history-heart-attacks), with a father or brother who had a heart attack before the age of 55 and a mother or sister who had a heart attack before 65. - **High cholesterol** causes [plaque](https://www.cdc.gov/heartdisease/risk_factors.htm) to build up on the walls of the arteries, which can lead to decreased blood flow and blocked arteries. - **Hypertension** ([high blood pressure](https://www.cdc.gov/heartdisease/risk_factors.htm)), when left untreated, can damage your blood vessels and your heart. - **Obesity** was recently linked with an increased risk for multiple heart attacks by a study published in the [European Journal of Preventative Cardiology](https://www.escardio.org/The-ESC/Press-Office/Press-releases/Belly-fat-linked-with-repeat-heart-attacks)*.* - **Diabetes** can damage blood vessels over time, and the [risk of heart disease increases](https://www.niddk.nih.gov/health-information/diabetes/overview/preventing-problems/heart-disease-stroke) the longer you have diabetes. - **Elevated levels of C-reactive protein** occur when there is inflammation in the body (often indicating a chronic disease) and can [increase your chance of heart attack by three times](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4825196/). That being said, it is entirely possible to have a heart attack without these traditional risk factors, according to Parwani. And even though older people are more likely to have a heart attack, Parwani says that no one should assume they are too young — individuals under the age of 45 still account for 4% to 10% of all heart attacks in the US, according to [Harvard Men's Health Watch](https://www.health.harvard.edu/heart-health/premature-heart-disease). "Generally, there is no difference \[in symptoms\] between younger and older individuals," Parwani says. However, older people with another disease like diabetes may be more likely to have a silent heart attack or one without any obvious symptoms. If you're experiencing any symptoms of a heart attack — no matter how small — seek medical attention immediately. Wright recommends contacting a medical professional, going to an emergency room, or calling for paramedic assistance. # Related stories about [heart health](https://www.businessinsider.com/category/heart-health): - **[How hypertension, heart disease, and stroke are related](https://www.businessinsider.com/guides/health/conditions-symptoms/how-are-hypertension-heart-disease-and-stroke-related)** - **[What causes high blood pressure and how to know if you have hypertension](https://www.businessinsider.com/guides/health/conditions-symptoms/what-causes-high-blood-pressure)** - **[How to lower blood pressure with a heart-healthy diet and exercise](https://www.businessinsider.com/guides/health/treatments/how-to-lower-blood-pressure)** - **[7 of the most dangerous things that put you at risk of a heart attack](https://www.businessinsider.com/what-causes-a-heart-attack-2019-3)** - **[What is a good resting heart rate, for adults and kids](https://www.businessinsider.com/guides/health/fitness/what-is-a-good-resting-heart-rate)** - **[What is tachycardia, and when a high heart rate is dangerous](https://www.businessinsider.com/guides/health/conditions-symptoms/what-is-tachycardia)** - **[How to lower cholesterol with the right diet and exercise regimens](https://www.businessinsider.com/guides/health/fitness/how-to-lower-cholesterol)** ### Recommended video *Read the original article on [INSIDER](http://www.thisisinsider.com/). Follow INSIDER on [Facebook](http://www.facebook.com/insider). Follow INSIDER on [Twitter](https://www.twitter.com/thisisinsider).* - [Health](https://www.businessinsider.com/category/health "Health") - [Heart health](https://www.businessinsider.com/category/heart-health "Heart health") ## Read next ![](https://www.businessinsider.com/public/assets/logos/placeholder.png) ![](https://www.businessinsider.com/public/assets/logos/placeholder.png) ### Business Insider tells the innovative stories you want to know ![](https://www.businessinsider.com/public/assets/logos/placeholder.png) ![](https://www.businessinsider.com/public/assets/logos/placeholder.png) ### Business Insider tells the innovative stories you want to know ![](https://www.businessinsider.com/public/assets/logos/placeholder.png) ![](https://www.businessinsider.com/public/assets/logos/placeholder.png) ### Business Insider tells the innovative stories you want to know ![](https://www.businessinsider.com/public/assets/logos/placeholder.png) ![](https://www.businessinsider.com/public/assets/logos/placeholder.png) ### Business Insider tells the innovative stories you want to know [HOME](https://www.businessinsider.com/) [Subscribe](https://www.businessinsider.com/subscription "Subscribe") [![Business Insider](<data:image/svg+xml,%3Csvg xmlns='http://www.w3.org/2000/svg' viewBox='0 0 1 1'%3E%3C/svg%3E>) ![](https://www.businessinsider.com/public/assets/logos/stacked-black.svg)](https://www.businessinsider.com/ "Visit Business Insider") [![Download on the App Store](<data:image/svg+xml,%3Csvg xmlns='http://www.w3.org/2000/svg' viewBox='0 0 1 1'%3E%3C/svg%3E>) ![](https://www.businessinsider.com/public/assets/badges/app-store-badge.svg)](https://itunes.apple.com/app/apple-store/id554260576?mt=8) [![Get it on Google Play](<data:image/svg+xml,%3Csvg xmlns='http://www.w3.org/2000/svg' viewBox='0 0 1 1'%3E%3C/svg%3E>) ![](https://www.businessinsider.com/public/assets/badges/google-play-badge.svg)](https://play.google.com/store/apps/details?id=com.freerange360.mpp.businessinsider) Legal & Privacy - [Terms of Service](https://www.businessinsider.com/terms) - [Terms of Sale](https://www.businessinsider.com/terms-of-sale) - [Privacy Policy](https://www.businessinsider.com/privacy-policy) - [Accessibility](https://www.businessinsider.com/accessibility) - [Code of Ethics Policy](https://www.businessinsider.com/code-of-ethics) - [Reprints & Permissions](https://www.parsintl.com/publication/business-insider/) - [Disclaimer](https://www.businessinsider.com/disclaimer) - [Advertising Policies](https://www.businessinsider.com/advertising-policies) - [Conflict of Interest Policy](https://www.businessinsider.com/conflict-of-interest-policy) - [Commerce Policy](https://www.businessinsider.com/commerce-policy) - [Coupons Privacy Policy](https://www.businessinsider.com/coupons-privacy-policy) - [Coupons Terms](https://www.businessinsider.com/coupons-terms) - [Cookie Settings](https://www.businessinsider.com/what-are-the-signs-of-a-heart-attack) Company - [About Us](https://www.businessinsider.com/about-us) - [Careers](https://www.businessinsider.com/work-at-business-insider) - [Advertise With Us](https://advertising.businessinsider.com/) - [Contact Us](https://www.businessinsider.com/contact) - [News Tips](https://www.businessinsider.com/secure-news-tips) - [Company News](https://www.businessinsider.com/category/business-insider-press-room) - [Awards](https://www.businessinsider.com/awards) - [Masthead](https://www.businessinsider.com/masthead) Other - [Sitemap](https://www.businessinsider.com/sitemap/html/index.html) - [Stock quotes by finanzen.net](https://www.finanzen.net/) - [Corrections](https://www.businessinsider.com/category/corrections) - [Community Guidelines](https://www.businessinsider.com/community-guidelines) - [AI Use](https://www.businessinsider.com/how-the-business-insider-newsroom-uses-ai) International Editions - [AT](https://www.businessinsider.de/?IR=C) - [DE](https://www.businessinsider.de/?IR=C) - [ES](https://businessinsider.es/) - [JP](https://www.businessinsider.jp/) - [PL](https://www.businessinsider.com.pl/?IR=C) - [TW](https://www.businessinsider.tw/) [Copyright © 2026](https://www.businessinsider.com/terms) Insider Inc. All rights reserved. Registration on or use of this site constitutes acceptance of our [Terms of Service](https://www.businessinsider.com/terms) and [Privacy Policy](https://www.businessinsider.com/privacy-policy). ![Insider.com TM Logo](<data:image/svg+xml,%3Csvg xmlns='http://www.w3.org/2000/svg' viewBox='0 0 1 1'%3E%3C/svg%3E>) ![](https://www.businessinsider.com/public/assets/INSIDER/US/logos/insider-com-trademark-opt.svg) ![Insider](<data:image/svg+xml,%3Csvg xmlns='http://www.w3.org/2000/svg' viewBox='0 0 1 1'%3E%3C/svg%3E>) ![](https://www.businessinsider.com/public/assets/INSIDER/US/logos/Insider-logo-dark-opt.svg) ![Insider-Inc Logo](<data:image/svg+xml,%3Csvg xmlns='http://www.w3.org/2000/svg' viewBox='0 0 1 1'%3E%3C/svg%3E>) ![](https://www.businessinsider.com/public/assets/INSIDER/US/logos/insider-inc.svg) ![Tech Insider Logo](<data:image/svg+xml,%3Csvg xmlns='http://www.w3.org/2000/svg' viewBox='0 0 1 1'%3E%3C/svg%3E>) ![](https://www.businessinsider.com/public/assets/BI/US/logos/Tech-Insider-opt.svg) ![Business Insider DE Logo](<data:image/svg+xml,%3Csvg xmlns='http://www.w3.org/2000/svg' viewBox='0 0 1 1'%3E%3C/svg%3E>) ![](https://www.businessinsider.com/public/assets/BI/DE/logos/BI-DE-Black-on-Light-final-footer-logo-opt.svg) ![Insider Media Logo](<data:image/svg+xml,%3Csvg xmlns='http://www.w3.org/2000/svg' viewBox='0 0 1 1'%3E%3C/svg%3E>) ![](https://www.businessinsider.com/public/assets/MI/logos/markets-insider-stacked.svg) ![Insider Media Logo](<data:image/svg+xml,%3Csvg xmlns='http://www.w3.org/2000/svg' viewBox='0 0 1 1'%3E%3C/svg%3E>) ![](https://www.businessinsider.com/public/assets/INSIDER/US/logos/insider-media.svg) ![News Insider Logo](<data:image/svg+xml,%3Csvg xmlns='http://www.w3.org/2000/svg' viewBox='0 0 1 1'%3E%3C/svg%3E>) ![](https://www.businessinsider.com/public/assets/INSIDER/US/logos/news-insider.svg) ![Silicon Alley Logo](<data:image/svg+xml,%3Csvg xmlns='http://www.w3.org/2000/svg' viewBox='0 0 1 1'%3E%3C/svg%3E>) ![](https://www.businessinsider.com/public/assets/INSIDER/US/logos/silicon-alley-insider.svg) ![](https://sb.scorecardresearch.com/p?c1=2&c2=9900186&cv=3.6.0&;cj=1&comscorekw=) Jump to 1. [Main content](https://www.businessinsider.com/what-are-the-signs-of-a-heart-attack#post-headline) 2. [Search](https://www.businessinsider.com/what-are-the-signs-of-a-heart-attack#search) 3. [Account](https://www.businessinsider.com/what-are-the-signs-of-a-heart-attack#account) 4. [Jump to top of page](https://www.businessinsider.com/) ![Business Insider](https://www.businessinsider.com/public/assets/logos/placeholder.png) ## Follow Every time publishes a story, you’ll get an alert straight to your inbox\! Every time a new story is published, you’ll get an alert straight to your inbox\! Enter your email Sign up By clicking “Sign up”, you agree to receive emails from Business Insider. In addition, you accept Insider’s [Terms of Service](https://www.businessinsider.com/terms) and [Privacy Policy](https://www.businessinsider.com/privacy-policy).
Readable Markdown
By ![heart attack](https://i.insider.com/5e3333983ac0c968d44d120e?width=700) You may feel strong pain in the center to left side of your chest, but there are also more subtle signs of a heart attack. Layla Bird/Getty Images Feb 2, 2020, 8:49 PM GMT - **The main signs of a heart attack are opressive discomfort or heaviness in the center of the chest, paired with discomfort in the neck, throat, jaw, and the left side of the chest or arm.** - **Women and older adults may experience subtler signs of a heart attack such as unusual fatigue, shortness of breath, nausea, cold sweats, or indigestion.** - **If you feel these symptoms — especially if you also have common risk factors for a heart attack — you should call 911 and seek medical attention immediately.** - **This article was reviewed by [Steven Reisman, MD,](https://newyorkcardiac.com/dr-steven-reisman-cardiologist-nyc) a cardiologist and the director of [New York Cardiac Diagnostic Center.](https://newyorkcardiac.com/)** - [Visit Insider's homepage for more stories](https://www.businessinsider.com/?hprecirc-bullet). In the US, someone has a heart attack every 40 seconds, according to the [Centers for Disease Control and Prevention](https://www.cdc.gov/heartdisease/facts.htm). But contrary to popular belief, chest pain is not always present during a heart attack. Here's what you need to know about the main warning signs and risk factors of a heart attack. ## These are the main signs of a heart attack According to [Purvi Parwani](https://lluh.org/provider/parwani-purvi), MD, and director of the Women's Heart Health Clinic at Loma Linda University International Heart Institute, you should seek medical attention immediately if experiencing the following symptoms: - An oppressive discomfort or heaviness in the chest, typically in the center of the chest. - Chest discomfort that is also paired with discomfort in other areas of the upper body, like the neck, throat, jaw, and left side of the chest and arm. However, in women and older adults, the earliest symptoms are often more subtle than chest discomfort, says [Richard Wright](https://www.pacificheart.com/richard-f-wright-md), MD, a cardiologist at Pacific Heart Institute. Women are more likely to experience nausea, shortness of breath, indigestion, unusual fatigue, and cold sweats with a heart attack because they often [experience blockages in smaller blood vessels](https://www.mayoclinic.org/diseases-conditions/heart-disease/in-depth/heart-disease/art-20046167), not just in their main arteries. They are also [typically older](https://www.health.harvard.edu/heart-health/the-heart-attack-gender-gap) when they have their first heart attack. Women experience their first heart attack at around age 72 whereas for men it's closer to 65. ## How to know if you're at risk of a heart attack Even before you experience any symptoms, there are a few key risk factors that may increase your likelihood of having a heart attack. For example, g[rowing older](https://www.nia.nih.gov/health/heart-health-and-aging) is associated with an increased build-up of plaque in the arteries, which leads to a greater risk of a heart attack. There are also many lifestyle factors associated with an increased risk of heart disease, like frequently [smoking](https://my.clevelandclinic.org/health/articles/17488-smoking) cigarettes or not [exercising](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4241367/) regularly. Other conditions that may increase heart attack risk include: - **Family history** of [heart disease](https://www.ucihealth.org/blog/2017/02/family-history-heart-attacks), with a father or brother who had a heart attack before the age of 55 and a mother or sister who had a heart attack before 65. - **High cholesterol** causes [plaque](https://www.cdc.gov/heartdisease/risk_factors.htm) to build up on the walls of the arteries, which can lead to decreased blood flow and blocked arteries. - **Hypertension** ([high blood pressure](https://www.cdc.gov/heartdisease/risk_factors.htm)), when left untreated, can damage your blood vessels and your heart. - **Obesity** was recently linked with an increased risk for multiple heart attacks by a study published in the [European Journal of Preventative Cardiology](https://www.escardio.org/The-ESC/Press-Office/Press-releases/Belly-fat-linked-with-repeat-heart-attacks)*.* - **Diabetes** can damage blood vessels over time, and the [risk of heart disease increases](https://www.niddk.nih.gov/health-information/diabetes/overview/preventing-problems/heart-disease-stroke) the longer you have diabetes. - **Elevated levels of C-reactive protein** occur when there is inflammation in the body (often indicating a chronic disease) and can [increase your chance of heart attack by three times](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4825196/). That being said, it is entirely possible to have a heart attack without these traditional risk factors, according to Parwani. And even though older people are more likely to have a heart attack, Parwani says that no one should assume they are too young — individuals under the age of 45 still account for 4% to 10% of all heart attacks in the US, according to [Harvard Men's Health Watch](https://www.health.harvard.edu/heart-health/premature-heart-disease). "Generally, there is no difference \[in symptoms\] between younger and older individuals," Parwani says. However, older people with another disease like diabetes may be more likely to have a silent heart attack or one without any obvious symptoms. If you're experiencing any symptoms of a heart attack — no matter how small — seek medical attention immediately. Wright recommends contacting a medical professional, going to an emergency room, or calling for paramedic assistance. ## Related stories about [heart health](https://www.businessinsider.com/category/heart-health): - **[How hypertension, heart disease, and stroke are related](https://www.businessinsider.com/guides/health/conditions-symptoms/how-are-hypertension-heart-disease-and-stroke-related)** - **[What causes high blood pressure and how to know if you have hypertension](https://www.businessinsider.com/guides/health/conditions-symptoms/what-causes-high-blood-pressure)** - **[How to lower blood pressure with a heart-healthy diet and exercise](https://www.businessinsider.com/guides/health/treatments/how-to-lower-blood-pressure)** - **[7 of the most dangerous things that put you at risk of a heart attack](https://www.businessinsider.com/what-causes-a-heart-attack-2019-3)** - **[What is a good resting heart rate, for adults and kids](https://www.businessinsider.com/guides/health/fitness/what-is-a-good-resting-heart-rate)** - **[What is tachycardia, and when a high heart rate is dangerous](https://www.businessinsider.com/guides/health/conditions-symptoms/what-is-tachycardia)** - **[How to lower cholesterol with the right diet and exercise regimens](https://www.businessinsider.com/guides/health/fitness/how-to-lower-cholesterol)** *Read the original article on [INSIDER](http://www.thisisinsider.com/). Follow INSIDER on [Twitter](https://www.twitter.com/thisisinsider).* - [Health](https://www.businessinsider.com/category/health "Health") - [Heart health](https://www.businessinsider.com/category/heart-health "Heart health") Read next
ML Classification
ML Categories
/Health
99.4%
/Health/Health_Conditions
98.7%
/Health/Health_Conditions/Heart_and_Hypertension
98.6%
Raw JSON
{
    "/Health": 994,
    "/Health/Health_Conditions": 987,
    "/Health/Health_Conditions/Heart_and_Hypertension": 986
}
ML Page Types
/Article
99.9%
/Article/How_to
47.6%
Raw JSON
{
    "/Article": 999,
    "/Article/How_to": 476
}
ML Intent Types
Informational
99.9%
Raw JSON
{
    "Informational": 999
}
Content Metadata
Languageen-us
AuthorHenry Blodget
Publish Timenot set
Original Publish Time2020-02-02 12:30:53 (6 years ago)
RepublishedNo
Word Count (Total)1,243
Word Count (Content)862
Links
External Links58
Internal Links108
Technical SEO
Meta NofollowNo
Meta NoarchiveNo
JS RenderedYes
Redirect Targetnull
Performance
Download Time (ms)293
TTFB (ms)275
Download Size (bytes)56,751
Shard181 (laksa)
Root Hash15170859634011428381
Unparsed URLcom,businessinsider!www,/what-are-the-signs-of-a-heart-attack s443