Heart Disease
Symptoms
Each type of heart disease has different
symptoms, although many heart problems have
similar symptoms. The symptoms you experience
depend on the type and severity of your heart
condition. Learn to recognize your symptoms and
the situations that cause them. Call your doctor
if you begin to have new symptoms or if they
become more frequent or severe.
Coronary Artery Disease
The most common symptom is angina. Angina can be
described as a discomfort, heaviness, pressure,
aching, burning, fullness, squeezing or painful
feeling in your chest. It can be mistaken for
indigestion or heartburn. Angina is usually felt
in the chest, but may also be felt in the left
shoulder, arms, neck, throat, jaw or back.
Other symptoms that can occur with coronary
artery disease include:
- Shortness of breath
- Palpitations (irregular heart beats, skipped
beats or a "flip-flop" feeling in your chest)
- A faster heartbeat
- Weakness or dizziness
- Nausea
- Sweating
Heart Attack (Myocardial Infarction or MI)
Symptoms can include:
-Discomfort, pressure, heaviness, or pain in the
chest, arm or below the breastbone
- Discomfort radiating to the back, jaw, throat
or arm
- Fullness, indigestion or choking feeling (may
feel like heartburn)
- Sweating, nausea, vomiting or dizziness
- Extreme weakness, anxiety or shortness of
breath
- Rapid or irregular heartbeats
During a heart attack, symptoms last 30 minutes
or longer and are not relieved by rest or oral
medications (medications taken by mouth).
Some people have a heart attack without having
any symptoms (a "silent" MI). A silent MI can
occur among all people, though it occurs more
often among diabetics.
If you think you are having a heart attack, DO
NOT DELAY. Call for emergency help. Quick
treatment of a heart attack is very important to
lessen the amount of damage to your heart.
Arrhythmias
When symptoms of arrhythmias are present, they may include:
- Palpitations (a feeling of skipped heart
beats, fluttering or "flip-flops," or feeling
that your heart is "running away")
- Pounding in your chest
- Dizziness or feeling light-headed
- Fainting
- Shortness of breath
- Chest discomfort
- Weakness or fatigue (feeling very tired)
- Atrial Fibrillation
Atrial fibrillation (AF) is a type of
arrhythmia. Most people with AF experience one
or more of the following symptoms:
- Heart palpitations (a sudden pounding,
fluttering, or racing feeling in the heart)
- Lack of energy; tired
- Dizziness (feeling faint or light-headed)
- Chest discomfort (pain, pressure, or
discomfort in the chest)
- Shortness of breath (difficulty breathing
during activities of daily living)
Heart Valve Disease
Symptoms of Heart valve disease can include:
- Shortness of breath and/or difficulty catching
your breath. You may notice this most when you
are active (doing your normal daily activities)
or when you lie down flat in bed.
- Weakness or dizziness.
- Discomfort in your chest. You may feel a
pressure or weight in your chest with activity
or when going out in cold air.
- Palpitations (this may feel like a rapid heart
rhythm, irregular heartbeat, skipped beats or a
flip-flop feeling in your chest).
- If valve disease causes heart failure,
symptoms may include:
- Swelling of your ankles, feet or abdomen.
Swelling may also occur in your belly, which may
cause you to feel bloated.
-Quick weight gain (a weight gain of two or
three pounds in one day is possible).
Symptoms do not always relate to the seriousness
of your valve disease. You may have no symptoms
at all and have severe valve disease, requiring
prompt treatment. Or, as with mitral valve
prolapse, you may have severe symptoms, yet
tests may show minor valve disease.
Heart Failure
Symptoms of Heart failure can include:
- Shortness of breath (often causes a hacking
cough)
- Quick weight gain (a weight gain of two or
three pounds in one day is possible)
- Swelling in ankles, legs and abdomen
- Dizziness
- Fatigue and weakness
- Rapid or irregular heartbeats
- Other symptoms include nausea, palpitations,
chest pain, waking suddenly at night unable to
breath and changes in sleep pattern
Like valve disease, heart failure symptoms may
not be related to how weak your heart is. You
may have many symptoms, but your heart function
may be only mildly weakened. Or you may have a
severely damaged heart, but no symptoms.
Congenital Heart Disease
Congenital heart defects may be diagnosed before
birth, right after birth, during childhood or
not until adulthood. It is possible to have a
defect and no symptoms at all. In adults, if
symptoms are present, they may include:
- Shortness of breath
- Limited ability to exercise
- Symptoms of heart failure (see above) or valve
disease (see above)
Congenital Heart Disease in Infants and Children
Symptoms can include:
- Cyanosis (a bluish tint to the skin,
fingernails and lips)
- Fast breathing and poor feeding
- Poor weight gain
- Recurrent lung infections
- Inability to exercise
- Heart Muscle Disease (Cardiomyopathy)
Many people with heart muscle disease have no
symptoms or only minor symptoms, and live a
normal life. Other people develop symptoms,
which progress and worsen as heart function
worsens.
Symptoms can occur at any age and may include:
- Chest pain or pressure (occurs usually with
exercise or physical activity, but can also
occur with rest or after meals)
- Heart failure symptoms (see above)
- Swelling of the lower extremities
- Fatigue
- Fainting
- Palpitations (fluttering in the chest due to
abnormal heart rhythms)
Sudden death can occur in a small number of
people with cardiomyopathy.
Pericarditis
When present, symptoms of pericarditis may
include:
- Chest pain. This pain is different from angina
(pain caused by Coronary artery disease. It may
be sharp and located in the center of the chest.
The pain may radiate to the neck and
occasionally, the arms and back. It is made
worse when lying down, coughing or swallowing
and relieved by sitting forward.
- Low-grade fever.
- Increased heart rate.
Because many of the symptoms associated with
each type of heart disease are similar, it is
important to see your doctor so that you can
receive a correct diagnosis and prompt
treatment.