chest pain

Heart attack chest pain is similar in women and men

Howard LeWine, M.D.

Chief Medical Editor, Harvard Health Publishing

In many ways, women are different from men. One way in which they are alike is how they “feel” a heart attack: with similar kinds of chest pain. Other heart attack symptoms may differ, but chest pain is pretty standard, according to European study of nearly 2,500 men and women. Few differences in chest pain were seen between the sexes. What’s more, the kind or duration of chest pain didn’t help tell a heart attack from some other problem. The conclusion? A careful medical history, an electrocardiogram, and blood tests are the best way to diagnose a heart attack in men and women. During a heart attack, more than three-quarters of men and women experience chest pain or discomfort. In the run-up to a heart attack, chest pain with exertion is a more common warning sign in men, while women often have other types of symptoms, such as fatigue and disturbed sleep.

Angina pain is similar in men and women, though descriptions may differ

Chest pain brought on by exercise or stress, a condition known as angina, holds back millions of Americans from living life to the fullest. There’s long been a perception that angina symptoms in women are different than they are in men. Doctors often use the term “typical angina” to describe the angina symptoms that men relate. Symptoms more commonly described by women have been dubbed “atypical angina”—suggesting that women are somehow experiencing an unusual manifestation of heart trouble. A new Harvard study shows that women and men probably experience the same symptoms, but describe them differently. By any name or description, chest discomfort is crucial for women—and their doctors—to pay attention to. And that means acknowledging the possibility of angina no matter how a women describes suspicious chest-related symptoms.