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Symptoms

According to The Mayo Clinic (one of the most respected medical centers in the world) http://www.mayoclinic.com/health/heart-disease/DS01120

Heart disease is a broad term used to describe a range of diseases that affect your heart, and in some cases, your blood vessels. The various diseases that fall under the umbrella of heart disease include diseases of your blood vessels, such as coronary artery disease; heart rhythm problems (arrhythmias); and heart defects you're born with (congenital heart defects).

 

The term "heart disease" is often used interchangeably with "cardiovascular disease" — a term that generally refers to conditions that involve narrowed or blocked blood vessels that can lead to a heart attack, chest pain (angina) or stroke. Other heart conditions, such as infections and conditions that affect your heart's muscle, valves or beating rhythm also are considered forms of heart disease.

Heart disease is the No. 1 worldwide killer of men and women, including in the United States. For example, heart disease is responsible for 40 percent of all the deaths in the United States, more than all forms of cancer combined. Many forms of heart disease can be prevented or treated with healthy lifestyle choices and diet and exercise.

Think you're having a heart attack

Here's what the American Heart Association Web site says:

Some heart attacks are sudden and intense — the "movie heart attack," where no one doubts what's happening. But most heart attacks start slowly, with mild pain or discomfort. Often people affected aren't sure what's wrong and wait too long before getting help. Here are signs that can mean a heart attack is happening:

    * Chest discomfort. Most heart attacks involve discomfort in the center of the chest that lasts more than a few minutes, or that goes away and comes back. It can feel like uncomfortable pressure, squeezing, fullness or pain.
    * Discomfort in other areas of the upper body. Symptoms can include pain or discomfort in one or both arms, the back, neck, jaw or stomach.
    * Shortness of breath with or without chest discomfort.
    * Other signs may include breaking out in a cold sweat, nausea or lightheadedness.

As with men, women's most common heart attack symptom is chest pain or discomfort. But women are somewhat more likely than men to experience some of the other common symptoms, particularly shortness of breath, nausea/vomiting, and back or jaw pain.

Learn the signs, but remember this: Even if you're not sure it's a heart attack, have it checked out (tell a doctor about your symptoms). Minutes matter! Fast action can save lives — maybe your own. Don't wait more than five minutes to call 9-1-1 or your emergency response number.

Calling 9-1-1 is almost always the fastest way to get lifesaving treatment. Emergency medical services (EMS) staff can begin treatment when they arrive — up to an hour sooner than if someone gets to the hospital by car. EMS staff are also trained to revive someone whose heart has stopped. Patients with chest pain who arrive by ambulance usually receive faster treatment at the hospital, too. It is best to call EMS for rapid transport to the emergency room."

I find that the biggest error (and can be a fatal error) is not to call 911. Some wait for family members to take them to the hospital and have either died waiting for the family member to arrive or in the family member's car going to the hospital.  Thus, most of us feel the single most important thing you can do is to call 911.

Calling friends or neighbors after calling 911, sitting up, taking an aspirin are all important things to do, but if you haven't called 911 and you collapse, help just won't be on the way soon enough.

Heart disease symptoms vary, depending on what type of heart disease you have.
Heart disease or cardiovascular disease is caused by narrowed, blocked or stiffened blood vessels that make it so your heart, brain or other parts of your body don't receive enough blood. Cardiovascular disease symptoms can include: 

  • Chest pain (angina) 
  • Shortness of breath 
  • Pain, numbness, weakness or coldness in your legs or arms, if the blood vessels in those parts of your body are narrowed

You might not be diagnosed with cardiovascular disease until your condition worsens to the point that you have a heart attack, chest pain (angina), stroke, heart failure or sudden cardiac death. It's important to watch for cardiovascular symptoms and discuss any concerns with your doctor. Cardiovascular disease can sometimes be found early with regular visits to your doctor.

When to see a doctor
Seek emergency medical care if you have these heart disease symptoms:

  • Chest pain 
  • Shortness of breath
  • Fainting

Heart disease is easier to treat when it's detected early, so talk to your doctor about any concerns you have about your heart health. If you don't have heart disease, but are concerned about developing heart disease, talk to your doctor about steps you can take to reduce your heart disease risk. This is especially true if you have a family history of heart disease.

If you think you may have heart disease based on new signs or symptoms you've been having, make an appointment to see your doctor. 

Abnormal Heartbeats

Heart disease symptoms caused by abnormal heartbeats (heart arrhythmias). A heart arrhythmia is an abnormal heartbeat. Your heart may beat too quickly, too slowly, or irregularly if you have an arrhythmia. Heart arrhythmia symptoms can include: 

  • A fluttering in your chest 
  • A racing heartbeat (tachycardia) 
  • A slow heartbeat (bradycardia)
  • Chest pain 
  • Shortness of breath
  • Lightheadedness 
  • Dizziness
  • Fainting (syncope) or near fainting
Thick Heart Muscle

Heart disease symptoms caused by thick heart muscle (cardiomyopathy). Cardiomyopathy is the thickening and stiffening of heart muscle. In early stages of cardiomyopathy, you may have no symptoms. As the condition worsens, cardiomyopathy symptoms include: 

  • Breathlessness with exertion or even at rest 
  • Swelling of the legs, ankles and feet 
  • Bloating (distention) of the abdomen with fluid 
  • Fatigue 
  • Irregular heartbeats that feel rapid, pounding or fluttering
  • Dizziness, lightheadedness and fainting
Heart Defects

Heart disease symptoms caused by heart defects. Serious congenital heart defects — a defect you're born with — usually become evident during the first few hours, days, weeks and months of life. Heart defect symptoms could include: 

  • Pale gray or blue skin color (cyanosis) 
  • Swelling in the legs, abdomen or areas around the eyes 
  • Shortness of breath during feedings, leading to poor weight gain

Less-serious congenital heart defects are often not diagnosed until later in childhood or even adulthood. Signs and symptoms of congenital heart defects that usually aren't immediately life-threatening include: 

  • Easily becoming short of breath during exercise or activity 
  • Easily tiring during exercise or activity 
  • Built-up fluid in the heart or lungs 
  • Swelling in the hands, ankles or feet
Heart Infections

Heart disease symptoms caused by heart infections. There are three types of heart infections: pericarditis, which affects the tissue surrounding the heart (pericardium); myocarditis, which affects the muscular middle layer of the walls of the heart (myocardium); and endocarditis, which affects the inner membrane that separates the chambers and valves of your heart (endocardium). Varying slightly with each type of infection, heart infection symptoms can include: 
  • Fever
  • Shortness of breath
  • Weakness or fatigue
  • Swelling in your legs or abdomen
  • Changes in your heart rhythm
  • Dry or persistent cough
  • Skin rashes or unusual spots
Heart disease symptoms caused by valvular heart disease. The heart has four valves — the aortic, mitral, pulmonary and tricuspid valves — that open and close to direct blood flow through your heart. Valves may be damaged by a variety of conditions leading to narrowing (stenosis), leaking (regurgitation or insufficiency) or improper closing (prolapse). Depending on which valve isn't working properly, valvular heart disease symptoms generally include: 
  • Fatigue 
  • Shortness of breath
  • Irregular heartbeat or heart murmur
  • Swollen feet or ankles
  • Chest pain
  • Fainting (syncope)

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