31/03/2026
Heart attack symptoms look a lot different in women and AFAB folks than they do in men and AMAB folks.
3 years ago I was driving when I had to pull over. I had sharp pain that started simultaneously in both elbows, radiated up my arms, into my back and then my chest, followed my a big hot flush. It passed after about 10 or so minutes.
I put it down to anxiety at the time.
A week or two later I had a couple of events where I got sharp back pain between my shoulders that radiated into my arms. It passed after a minute or two.
I took codeine and went to see my GP. He put it down to endometriosis.
18 months ago I had to find a new GP when my previous one retired. She was alarmed at my high cholesterol and blood pressure, started me on a statin and perindopril, and sent me off for an echocardiogram. The results showed an ejection fraction of 49%. I was borderline heart failure.
I was referred to a cardiologist. He looked at my echo and ordered an electrocardiogram. The results were normal. His best guess in that moment was that I'd had covid or another viral infection that damaged my heart, but he wanted to be thorough and sent me for more tests.
After more than a year of every heart test imaginable (some repeated), the cardiologist determined that I had previously had a heart attack (likely several years ago) the damage from the event was visible on my MRI.
I'm certain it was the episode in the car 3 years prior.
All my other tests looked good. My arteries are in good condition with no calcification/thickening/hardening. There's no sign of any holes or congenital defects. My ejection fraction is 51%. While classified as "mildly impaired", it is in the lower end of normal.
The cardiologist said to come back in 12 months for a review, but to present to the hospital immediately if I ever have shortness of breath.
Please make yourself familiar with the symptoms in the image. If you have any of them, seek immediate medical attention.
And if you're ever unhappy with medical advice from your practitioner, always ALWAYS seek a second opinion.