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5 Subtle Signs of Heart Disease You Should Never Ignore

By Dr. Naveen Bhamri in Cardiac Sciences , Cardiology , Interventional Cardiology , Cardiac Electrophysiology-Pacemaker

Sep 24 , 2024 | 6 min read

When considering heart disease, the two most prominent signs that come to mind are chest pains and heart attacks. But the heart can also send much more subtle signs that one might easily overlook or mistake for something not quite so serious. These subtle signs could be your heart's way of seeking help before a more severe problem occurs. But, by paying attention to these warnings and having routine checkups, you can avoid serious problems and keep your heart healthy.

Here are five subtle signs your heart is crying out for help:

Unexplained Fatigue

If one is more tired after doing tasks or even after a night of restful sleep, then maybe it is a heart problem to think about. Fatigue is an often overlooked symptom of heart problems, particularly in women. The heart is responsible for pumping oxygenated blood to all parts of the body, and if it doesn't do its job well, then the muscles and tissues are not getting enough oxygen. This can result in unexplained exhaustion that doesn't improve with rest.

Why does it Happen?

If your heart is not working efficiently, it has to work harder to pump blood throughout your body, which can make you tired. This is especially true if you experience shortness of breath along with fatigue, which could be a sign of heart failure.

What You Can Do

If you find yourself constantly lacking energy despite not engaging in any strenuous activities, you should probably see a doctor. A heart examination might show some kind of problem before it becomes serious.

Shortness of Breath During Light Activity

Do you find yourself breathless after ascending a set of stairs or engaging in light household chores? Although lack of breath can be a sign of a lung condition such as asthma, it is also a warning sign of heart disease.

Why it Happens?

When your heart isn’t pumping efficiently, fluid can build up in your lungs, leading to difficulty breathing. This is particularly true in patients with congestive heart failure or CAD (coronary artery disease). Even light activity can cause shortness of breath and sometimes chest pain.

What You Can Do

If you haven't been short of breath before or if it seems to be getting worse, don't ignore it. A doctor can do an electrocardiogram (ECG) or stress test to see how well your heart is working.

Jaw or Neck Pain

Jaw or neck pain would not be the first thing you would think of as far as symptoms of a heart attack, but they can be signs, especially in women. While chest pain is the classic heart attack symptom, the discomfort can radiate to other parts of the body, such as the jaw, neck, shoulders, and even the back.

Why does it Happen?

The nerves that transmit pain sensations from the heart to the brain are next to the nerves in your jaw and neck, so when your heart hurts, it may feel like your jaw and neck hurt. This is exactly why no one should ever ignore jaw or neck pain, especially if it comes on suddenly or for no apparent reason.

What You Can Do

If you have jaw or neck pain, especially if it is accompanied by nausea, dizziness, or shortness of breath, you should see a doctor immediately. It might be your heart giving you a sign of something worse, like angina or a heart attack.

Swelling in the Feet, Ankles, or Legs

Swelling of the feet, ankles, or legs could be due to standing or sitting for too long. But continued swelling, especially when it gets worse as time goes on, maybe a sign that your heart is not performing as efficiently as it should.

Why does it Happen?

If the heart does not pump well, then the fluid does not flow as quickly, so the fluid starts to accumulate in the tissues. This often leads to swelling in the lower extremities. Or that could be a symptom of heart failure when the heart cannot pump efficiently enough to circulate the blood to the rest of the body.

What You Can Do

If you have persistent swelling of your feet, ankles, or legs (especially if this is accompanied by other symptoms such as shortness of breath or fatigue), then you should seek medical attention. They could test for heart failure or something similar.

Irregular Heartbeat (Arrhythmia)

Most people experience occasional irregular heartbeats, especially during periods of stress or after a cup of coffee. However, if they happen too frequently or for too long a period of time, be it a fast heart (tachycardia i.e, > 100 beats/min) or slow heart (bradycardia i.e., <66  beats/min), then it might be a symptom of some serious heart condition.

Why It Happens?

The heart has an electrical system that controls its rhythm. If there’s a problem with this system, it can cause arrhythmias. While not all irregular heartbeats are dangerous, they can sometimes lead to complications like blood clots or stroke if left untreated.

What You Can Do

Pay attention to how often you experience irregular heartbeats. If they don't go away and are accompanied by dizziness, chest pain, or fainting, see a doctor. A doctor may recommend monitoring your heart with an ECG or wearing a Holter monitor to track irregularities.

How Regular Heart Checkups Can Prevent Serious Issues

Although these are all little signs, they can point to a larger issue. Most people just ignore these symptoms and think that they are due to getting older, stress, or other medical problems. However, ignoring them could delay diagnosis and treatment, leading to more severe problems like heart attacks or heart failure.

Why Do Heart Checkups Matter?

  • Early detection: Doctors are able to find the early warning signs of heart disease with regular checkups.
  • Monitoring risk factors: Doctors are able to track important risk factors of heart disease, like blood pressure, cholesterol, and blood sugar.
  • Preventive action: If you can recognise the early signs, you can do something about it, like eating healthy, exercising, or reducing stress.

Conclusion: Listen to Your Body

Your heart has a way of communicating when something isn’t quite right, even if the signals are subtle. Some signs to look for in the early detection of heart problems are unusual fatigue, shortness of breath, jaw pain, swelling, and an irregular heartbeat. But the most important thing is to get those regular checkups on the heart so that it is always healthy and nothing ever happens to it.

If any of these symptoms apply to you, then you need to make an appointment with your health care provider, and give your heart the special attention that it needs.

Frequently Asked Questions

Can stress or anxiety cause heart symptoms like irregular heartbeats or shortness of breath?

Yes, stress and anxiety can sometimes trigger symptoms like irregular heartbeats, chest tightness, or shortness of breath. However, it's important to know the difference between the symptoms caused by stress and those signalling a heart condition. If symptoms persist or worsen, consult a doctor for proper evaluation.

How can I differentiate between general fatigue and heart-related fatigue?

General fatigue is often relieved with rest, while heart-related fatigue tends to persist even after adequate sleep and rest. If you experience exhaustion along with shortness of breath, chest discomfort, or swelling, it could be heart-related and should be evaluated by a healthcare professional.

Can dehydration lead to an irregular heartbeat?

Yes, dehydration can cause electrolyte imbalances that may affect your heart's electrical system, potentially leading to arrhythmias. Drinking enough water and maintaining balanced electrolytes are essential for heart health, especially in hot climates or during physical activity.

Are women more likely to experience subtle heart symptoms compared to men?

Yes, women may experience more subtle heart symptoms such as jaw pain, unexplained fatigue, or shortness of breath rather than the classic chest pain associated with heart attacks. It's essential for women to be aware of these differences and seek medical attention if symptoms arise.

How often should I schedule heart checkups if I don't have any obvious symptoms?

Even without symptoms, it's recommended to have regular heart checkups, especially if you have risk factors like high blood pressure, high cholesterol, or a family history of heart disease. A doctor can advise on the appropriate frequency based on your individual health profile.