By Catherine Chimenti, M.D.
Cardiologist at Seton Medical Center

When it comes to coronary artery disease, the condition in which the arteries that feed the heart muscle become blocked, the symptoms felt by females often differ from the textbook symptoms reported by males. That's why women may not be diagnosed as having coronary artery disease as quickly as men. When the coronary arteries have blockages, the typical pattern of symptoms begins with exertion, creating related chest pressure, pain, or tightness. Sometimes this pain, called angina, radiates to the left shoulder, arm, neck, or jaw. Women are less likely to experience typical angina pain, and therefore describe symptoms somewhat differently. For example, they may not describe "chest pain" or "tightness", instead, state that their "bra feels too tight." They may ignore a brief heaviness in the chest, and focus more on experiencing shortness of breath. Some women feel weak and tire easily with exertion. Serious symptoms following an episode of exertion include precipitated sweating, lightheadedness, or nausea. It is important that a female patient discuss such symptoms and complaints with their doctors. The doctor can then send her for consultation and the appropriate type of stress tests. Should those studies be positive, she would be referred for definitive coronary angiography. If blocked arteries are discovered,treatments/procedures may include medications, coronaryartery stenting or bypass surgery.

It is always ideal for one to be evaluated and treated before heart damage occurs. If you suffer the above symptoms in an abrupt, intense, or escalating degree, especially with minimal to no exertion, call 911 immediately. This may be indicative of acute coronary syndrome (ACS), meaning that you are having or may imminently suffer a heart attack. Prompt evaluation and treatment is necessary for restoration of the heart muscle's circulation. Such treatment may be lifesaving. I encourage you to protect your heart so you live a healthier and longer life.