Her Guide to a Heart Attack: Recognizing Female Heart Attack Symptoms

On a Monday morning in April, Merle Rose, a New Jersey woman, experienced what some doctors call “female heart attack symptoms;” a feeling of indigestion and extreme fatigue. Later, she had nausea, vomiting and fainting.
But she never had chest pain—a “typical” male heart attack sign. When she got to the emergency room, doctors couldn’t find any sign of heart attack and Rose says, “They would have sent me home.”
As Rose’s experience shows, many doctors—and women themselves--still don’t realize that female heart attack symptoms can look very different than those of men. In fact, according to a 2004 study of women’s early heart attack signs published in Circulation, women have more unrecognized heart attacks than men and are more likely to be, “mistakenly diagnosed and discharged from emergency departments.”
In the emergency room, physicians had assumed she had gastrointestinal illness. But at the time, no one told Rose that she had suffered a heart attack.
When an outside cardiologist recommended by Rose's regular doctor ordered testing that uncovered major blockages, doctors still made no mention of heart attack, she says.
So when did she finally get word? Not until several months later, when she visited a new female cardiologist. This doctor told her in retrospect that she had suffered a textbook case of undiagnosed female heart attack.
"That's the first I ever heard," Rose says. "This doctor told me, 'They didn't connect the dots.'"