Feeling this during a workout could mean heart trouble.
If you were asked to paint a picture of the classic heart disease symptom, you’d probably show a person in distress, clenching their chest. And you’d be right. Tightness or pressure in the chest is the most common well-known sign of coronary heart disease—but it’s not the whole picture.
When heart attack patients come in to see Satjit Bhusri, MD, a cardiologist at Lenox Hill Hospital, he says they’re often surprised that they didn’t feel any chest pain. “You really have to dig deeper and go beyond the chest pain notion. That’s one deceptive part of coronary artery disease that we’re really finding now, and that we’re catching more of. Going beyond the scope of the classic ‘I just have chest pain or pressure,’” says Dr. Bhusri.
One Heart Disease Symptom That Most People Miss
So besides chest pain, what other symptoms should you be looking out for? “One symptom that is commonly missed that people should be aware of is a sudden decline in your exercise tolerance,” says Dr. Bhusri. For instance, if walking up a hill or stairs becomes more troublesome, if you’re noticing shortness of breath during physical activity, or if activities of daily living become more of a battle for you, that could be early signs of worsening coronary artery disease, says Dr. Bhusri.
Other sneaky symptoms might include pain or pressure in the neck, arms, jaw, shoulder, or back, or pain that mimics indigestion. (Learn about other tell-tale signs of coronary heart disease here.)
“If you notice your exercise endurance has been decreasing over a period of a few weeks, instead of waiting for your heart attack to wake you up from your sleep, you should go to the doctor when you begin to have these symptoms,” says Nieca Goldberg, MD, medical director at NYU Langone Health in New York.
The earlier you get tested, the earlier your doctor can catch a clogged artery and help prevent a heart attack. Also critical: Make these lifestyle changes to prevent heart disease.
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The most common symptom of coronary
artery disease is tightness or
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pressure in the chest.
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Sometimes you don't have those symptoms.
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One symptom that is commonly
missed that people should be aware
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of is a sudden decline in
your exercise tolerance.
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That is all of a sudden walking up
a hill becomes more troublesome to you,
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you get more short of breath.
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Activities of daily living
become more of a battle for you.
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These could be signs of, early signs
of worsening coronary artery disease.
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If you've been noticing your
exercise endurance has been decreasing
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over a period of a few weeks.
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Instead of waiting for your heart
attack to wake you up from your sleep,
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you should go to the doctor when
you begin to have these symptoms.
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Because, with early testing, we can
find out if you have a clogged artery or
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not and open it up,
preventing the heart attack.
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The most common presentation I have for
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patients who come in with heart attacks,
is that, well, I didn't feel a chest pain.
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You really have to dig deeper and say,
go beyond the chest pain notion, and
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really ask detailed history.
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Were you having sweats without doing
anything beyond usual working out?
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So that's one deceptive part of coronary
artery disease that we're really
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finding now, and we're catching more of.
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Going beyond the scope of the classic,
I just have chest pain or chest pressure.
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Coronary Heart Disease. National Blood, Lung, and Heart Institute. (Accessed on January 31, 2018 at https://www.nhlbi.nih.gov/health-topics/coronary-heart-disease)