This came up in my Facebook memories today and so once again I’m banging the drum about it. 

I shared the following post from an ER nurse back in May of 2014. I had my own heart attack October 2019. When the symptoms started coming onto me I didn’t even think about what she’s saying here, I figured it was just a really bad case of heartburn. Until it felt like a horse was standing on my chest and it scared me. Looking back on it, the heart attack was pretty much like she says here, but for the squeezing feelings in my spine and jaw which I did not have.

And that, in retrospect, is interesting because she’s describing here how a heart attack feels different for most women and I am a cis gender, gay man.

It makes you think a little bit more about human biology. And you should. I’ve often wondered about mine. I have small feet for a guy, size 7 1/2 medium, and frequently have to buy from the ladies side of the shoe store where I have learned to look for a women’s size 9 wide. But my hat size is men’s large. Go figure. I have never felt myself to be transgender in any way. I have always felt completely comfortable in my own body, and in that sense of my own maleness. But if the heart attack taught me anything it’s that there is probably some female in me somewhere, somehow. 

So I try to tell this to other gay guys when I can: don’t expect the heart attack, if it ever comes, to feel like the one Hollywood tells you, all stabby. It might very well hit you like it does women. My generation of gay men got it drilled into us that our sexual orientation is something we learned by way of abuse, distant father, dominating mother, fear of women, immoral habits. But no…it’s in our biology. There are probably a bunch of other aspects to that besides sex.

This is why I have sought out care from physicians who are familiar with treating gay men. Our bodies may just be ever so slightly different enough, more akin to females, that our healthcare needs are different. It is entirely possible that drugs work on us more like they do women then heterosexual men. And I can tell you from personal experience, that the heart attack comes on the way this ER nurse describes. More than likely other symptoms in us look more like they do in women.

Both my cardiologist and my GP have assured me that this is how another heart attack, if it comes, will present in me. Doctors are notoriously hard boiled about all this.

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A nurse has heart attack and describes what women feel when having one:

I am an ER nurse and this is the best description of this event that I have ever heard. Please read, pay attention, and send it on!…

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FEMALE HEART ATTACKS

I was aware that female heart attacks are different, but this is the best description I’ve ever read.

Women rarely have the same dramatic symptoms that men have … you know, the sudden stabbing pain in the chest, the cold sweat, grabbing the chest & dropping to the floor that we see in movies. Here is the story of one woman’s experience with a heart attack.

I had a heart attack at about 10:30 PM with NO prior exertion, NO prior emotional trauma that one would suspect might have brought it on. I was sitting all snugly & warm on a cold evening, with my purring cat in my lap, reading an interesting story my friend had sent me, and actually thinking, ‘A-A-h, this is the life, all cozy and warm in my soft, cushy Lazy Boy with my feet propped up.

A moment later, I felt that awful sensation of indigestion, when you’ve been in a hurry and grabbed a bite of sandwich and washed it down with a dash of water, and that hurried bite seems to feel like you’ve swallowed a golf ball going down the esophagus in slow motion and it is most uncomfortable. You realize you shouldn’t have gulped it down so fast and needed to chew it more thoroughly and this time drink a glass of water to hasten its progress down to the stomach. This was my initial sensation–the only trouble was that I hadn’t taken a bite of anything since about 5:00 p.m.

After it seemed to subside, the next sensation was like little squeezing motions that seemed to be racing up my SPINE (hind-sight, it was probably my aorta spasms), gaining speed as they continued racing up and under my sternum (breast bone, where one presses rhythmically when administering CPR).

This fascinating process continued on into my throat and branched out into both jaws. ‘AHA!! NOW I stopped puzzling about what was happening — we all have read and/or heard about pain in the jaws being one of the signals of an MI happening, haven’t we? I said aloud to myself and the cat, Dear God, I think I’m having a heart attack!

I lowered the foot rest dumping the cat from my lap, started to take a step and fell on the floor instead. I thought to myself, If this is a heart attack, I shouldn’t be walking into the next room where the phone is or anywhere else… but, on the other hand, if I don’t, nobody will know that I need help, and if I wait any longer I may not be able to get up in a moment.

I pulled myself up with the arms of the chair, walked slowly into the next room and dialed the Paramedics… I told her I thought I was having a heart attack due to the pressure building under the sternum and radiating into my jaws. I didn’t feel hysterical or afraid, just stating the facts. She said she was sending the Paramedics over immediately, asked if the front door was near to me, and if so, to un-bolt the door and then lie down on the floor where they could see me when they came in.

I unlocked the door and then laid down on the floor as instructed and lost consciousness, as I don’t remember the medics coming in, their examination, lifting me onto a gurney or getting me into their ambulance, or hearing the call they made to St. Jude ER on the way, but I did briefly awaken when we arrived and saw that the radiologist was already there in his surgical blues and cap, helping the medics pull my stretcher out of the ambulance. He was bending over me asking questions (probably something like ‘Have you taken any medications?’) but I couldn’t make my mind interpret what he was saying, or form an answer, and nodded off again, not waking up until the Cardiologist and partner had already threaded the teeny angiogram balloon up my femoral artery into the aorta and into my heart where they installed 2 side by side stints to hold open my right coronary artery.

I know it sounds like all my thinking and actions at home must have taken at least 20-30 minutes before calling the paramedics, but actually it took perhaps 4-5 minutes before the call, and both the fire station and St Jude are only minutes away from my home, and my Cardiologist was already to go to the OR in his scrubs and get going on restarting my heart (which had stopped somewhere between my arrival and the procedure) and installing the stents.
Why have I written all of this to you with so much detail? Because I want all of you who are so important in my life to know what I learned first hand.

1. Be aware that something very different is happening in your body, not the usual men’s symptoms but inexplicable things happening (until my sternum and jaws got into the act). It is said that many more women than men die of their first (and last) MI because they didn’t know they were having one and commonly mistake it as indigestion, take some Maalox or other anti-heartburn preparation and go to bed, hoping they’ll feel better in the morning when they wake up… which doesn’t happen. My female friends, your symptoms might not be exactly like mine, so I advise you to call the Paramedics if ANYTHING is unpleasantly happening that you’ve not felt before. It is better to have a ‘false alarm’ visitation than to risk your life guessing what it might be!

2. Note that I said ‘Call the Paramedics.’ And if you can take an aspirin. Ladies, TIME IS OF THE ESSENCE!

Do NOT try to drive yourself to the ER – you are a hazard to others on the road.

Do NOT have your panicked husband who will be speeding and looking anxiously at what’s happening with you instead of the road.

Do NOT call your doctor — he doesn’t know where you live and if it’s at night you won’t reach him anyway, and if it’s daytime, his assistants (or answering service) will tell you to call the Paramedics. He doesn’t carry the equipment in his car that you need to be saved! The Paramedics do, principally OXYGEN that you need ASAP. Your Dr. will be notified later.

3. Don’t assume it couldn’t be a heart attack because you have a normal cholesterol count. Research has discovered that a cholesterol elevated reading is rarely the cause of an MI (unless it’s unbelievably high and/or accompanied by high blood pressure). MIs are usually caused by long-term stress and inflammation in the body, which dumps all sorts of deadly hormones into your system to sludge things up in there. Pain in the jaw can wake you from a sound sleep. Let’s be careful and be aware. The more we know the better chance we could survive.

A cardiologist says if everyone who gets this mail sends it to 10 people, you can be sure that we’ll save at least one life.

*Please be a true friend and send this article to all you female friends.