Heart Attacks in Men vs. Women

by | Aug 6, 2024

Someone has a heart attack every 40 seconds. So, as a caregiver, it’s important to know what to look for in case a client experiences a heart attack during your care. While there are common signs to watch for, heart attacks can present differently between men and women. Understanding these differences can help improve early detection, treatment, and prevention strategies.

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Let’s dive into the critical distinctions that can make a life-saving difference.

What Is a Heart Attack?

heart attack, or myocardial infarction, is considered a type of heart disease. Heart attacks happen when a blockage restricts blood flow to a part of the heart.

This blockage is often caused by a buildup of fat, cholesterol, and other substances, which form a plaque in the arteries that feed the heart. When a plaque breaks open, a blood clot forms around it, obstructing the blood flow to the heart. Without adequate blood flow, the affected part of the heart muscle is deprived of oxygen, leading to tissue damage or death.

Risk Factors

Several risk factors increase the likelihood of having a heart attack. The American Heart Association compiled a list of Life’s Simple 7 to clarify factors directly associated with heart attacks.

  1. Smoking
  2. Lack of physical activity
  3. Poor diet
  4. Unhealthy body weight
  5. High cholesterol
  6. High blood pressure
  7. Uncontrolled blood sugar

Studies show that adhering to the Simple 7 guidelines results in a lower lifetime risk of coronary heart disease.

Additional Heart Disease Risk Factors for Women

While these risk factors are common for both genders, the Mayo Clinic indicates additional factors that impact the risk of heart disease for women.

  • Menopause
  • Pregnancy complications
  • Diabetes
  • Emotional stress and depression
  • Family history of heart disease
  • Inflammatory diseases

By understanding and managing these risk factors, individuals can significantly reduce their chances of experiencing a heart attack. Regular check-ups and a healthy lifestyle are also crucial in mitigating these risks.

Symptoms of a Heart Attack

Although heart attacks may occur in both men and women, there are various symptoms that differ. Continue along below to gain an understanding of common warning signs and unique symptoms experienced by each gender.

The American Heart Association provides a clear list of heart attack symptoms in men and women

Heart Attack Signs in Men

Men typically experience the “classic” heart attack symptoms, which include:

  • Squeezing chest pain or pressure
  • Jaw, neck, or back pain
  • Nausea or vomiting
  • Shortness of breath
  • Pain or discomfort in arm or shoulder

Heart Attack Signs in Women

Women often experience more subtle or atypical symptoms, which can lead to delays in seeking treatment:

  • Chest pain (sometimes)
  • Pain or pressure in the lower chest or upper abdomen
  • Jaw, neck, or back pain
  • Nausea or vomiting
  • Shortness of breath
  • Fainting
  • Indigestion
  • Extreme fatigue

RELATED CONTENT: Heart Attack vs Heart Failure

Additional Gender-Specific Characteristics

Let’s explore some additional differences between men and women when it comes to heart attacks.

Men

  • Earlier onset: Men are more likely to experience heart attacks at a younger age compared to women. On average, the time of first heart attack is 65.5 for males and 72 years for females.
  • Higher rates of smoking and alcohol consumption: These behaviors are more prevalent in men and contribute to the risk of heart disease.
  • Unaware of symptoms: According to studies, men are more likely than women to not be aware of the symptoms of a heart attack. This could lead to a lack of urgency to get medical treatment.

Women

  • Higher risk of death: Women are more likely to die from heart attacks than men. 47% of women who experience a first heart attack will die, develop heart failure, or suffer from a stroke, compared to 36% of men.
  • Silent heart attacks: Women are more likely to have a heart attack without knowing it, called a silent heart attack. They may experience nausea or vomiting, which are oftentimes confused with acid reflux or the flu. Women may also attribute their symptoms to anxiety or stress.
  • Menopause: After menopause, the risk of a heart attack increases for women. The decline in estrogen levels can increase the risk of heart disease.

The onset of a heart attack can occur in men and women at any time, but understanding the potential symptoms is critical for your safety and health.

Outcomes & Recovery

Survival rates after a heart attack differ between men and women. As mentioned, women are more likely to die of their first heart attack compared to men. This disparity can be attributed to various factors, including differences in symptom presentation and delays in seeking treatment.

Both men and women benefit from cardiac rehabilitation programs. These programs include exercise, education, and counseling to help patients recover and reduce the risk of future heart problems. However, women are less likely to be referred to or complete these programs.

Preventing Heart Attacks for Men & Women

Both men and women can take steps to live a healthier lifestyle and reduce their risk of heart attack.

  • Healthy Diet: Eat a diet rich in fruits, vegetables, whole grains, and lean proteins while limiting saturated fats, trans fats, cholesterol, and sodium.
  • Regular Exercise: Aim for at least 150 minutes of moderate-intensity aerobic activity or 75 minutes of vigorous-intensity activity per week.
  • Avoid Smoking: Quit smoking and avoid secondhand smoke.
  • Manage Stress: Practice stress-reducing techniques such as meditation, yoga, or deep-breathing exercises.
  • Regular Check-Ups: Regular medical check-ups can help monitor and manage risk factors like blood pressure, cholesterol, and diabetes.

RELATED CONTENT: 6Tips to Prevent Heart Attacks

Conclusion

Understanding the differences in heart attacks between men and women is crucial for effective prevention, early detection, and treatment. By recognizing these differences, both individuals and healthcare providers can take proactive steps to protect heart health.

If you or a loved one experiences any symptoms of a heart attack, seek immediate medical attention. Remember, early intervention can save lives. Stay informed, stay proactive, and prioritize your heart health.

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