Do you think if something happens to your heart, you will know?

Some heart problems are not accompanied by clear warning signs. There is no need to have an alarming chest pocket followed by a fall to the floor as it appears in the movies. Some symptoms do not even appear in the chest. It is a complicated part of our body and not easy to recognize the problem.

“The more risk factors you have,” he says, “the more you have to worry about anything that might be related to the heart.”

Especially watch out for these problems:

Fatigue

this is one of the most common symptoms she sees (especially in women heart attack patients). “In my 25 years of practice, people on the verge of a heart attack report feeling tired and not able to do their usual activities,” she says. During a heart attack, blood flow to the heart is reduced, putting extra stress on the muscle, which could make you feel exhausted.

Don’t be afraid to ask your doctor to do an electrocardiogram (EKG), which checks heart activity. Sometimes when people present with lethargy, doctors won’t immediately order an EKG, which can detect a heart attack; but you should request one from your doctor, just to be safe.

Shortness of Breath

In spite of all that jogging and running, you find yourself getting winded walking up a flight of stairs. Maybe you’re coughing a lot. Asthma, anemia, and infection could be the culprits behind this new development, or your heart could be having issues with its valves or pumping blood.

Swollen Feet

Swollen feet can be a symptom of being on your feet all day. Pregnancy and Varicose veins can also cause your feet to swell. But it can also be a sign of your heart’s inability to pump blood in an efficient manner. If your swollen feet are due to heart failure, there are usually other accompanying symptoms such as shortness of breath and fatigue.

Soreness in the back, arms, or chest

Noticeable pain or soreness in the back, chest, or either arm is often a silent heart attack sign.“When heart muscle cells begin to run out of oxygen during a heart attack because of a blocked artery preventing oxygenated blood from feeding that muscle, they begin to send off pain signals through the nervous system. Your brain may confuse those nerve signals with signals coming from the arm (or the jaw, shoulder, elbow, neck or upper back) because of the nerve proximity.”

Because the pain is often not accompanied by the typical chest heaviness associated with heart attack, people tend to ignore it. “I’ve had patients say they only felt the pain when they were working out, so they assumed it was just from exercise, but that’s not right,” says Rosen. “If the symptom is something new, that’s worrisome and you should see a doctor.”

Extreme Pain While Walking

If you dread moving around due to painful hip and leg cramps that resolve when you’re at rest, don’t just shrug it off. While this pain could be a sign that you need to exercise more, it could also be peripheral arterial disease or PAD. PAD occurs when fatty plaque builds up in leg arteries, and it’s linked to a higher risk of heart disease. However, the good news is that PAD is easily treated.

Frequent Migraines

This could all be in your head. However, sometimes a headache isn’t just a headache. Regular headaches could be a signal that your heart is having issues. Migraines, especially those with auras have been tied to certain heart anomalies.

Anxiety, Nausea, Sweating

Anxiety, nausea, and sweating are classic symptoms of a panic attack, but these can also occur due to heart issues. You should be especially concerned if these symptoms are accompanied by chest pain, jaw pain, or pain in the back, neck, or shoulders. Don’t just wait it out. Taking immediate action could mean the difference between life or death since those who make it to the hospital within the first hour of symptoms like these have a better survival rate than those who wait and see.

It may seem strange that heart problems could be related to symptoms that appear to be unrelated to the heart. If you think about it, though, it does make sense. Your heart is responsible for getting oxygenated blood to every part of your body. If this isn’t happening correctly, the affected systems panic and send warnings that there is a problem.

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