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Heart attacks in women: the signs are not “atypical”

Women with a heart attack reach hospital later than men. One reason: many expect the classic chest pain and overlook the rest.

Updated: September 2026

Also in: Deutsch · Español

⚠️ If pain, pressure or tightness in the chest lasts longer than five minutes, or symptoms occur at rest: call the emergency number straight away – 112 in Germany and across the EU.

What women feel more often

A 2020 meta-analysis of 27 studies compared the symptoms of women and men with acute coronary syndrome, the condition from which a heart attack develops. In women too, chest pain is the most common sign: 74% had it, compared with 79% of men. But women more often had:

  • pain between the shoulder blades – the clearest difference
  • nausea or vomiting
  • shortness of breath

Chest pain and sweating were somewhat less common in women. The symptoms overlap a great deal. The authors therefore write that they should no longer be called “typical” and “atypical”.

Why time matters

A 2026 meta-analysis of more than 127,000 patients shows that women take longer to reach hospital. The difference is even clearer in the time until they seek help themselves.

The German Heart Foundation writes that every second counts in a heart attack and that many people hesitate too long before calling the emergency number.

Sources

  1. van Oosterhout, R. E. M., de Boer, A. R., Maas, A. H. E. M. et al. (2020): Sex Differences in Symptom Presentation in Acute Coronary Syndromes: A Systematic Review and Meta-analysis. Journal of the American Heart Association 9(9), e014733. View source
  2. Hu, D., Duan, Y., Song, J. et al. (2026): Sex disparities in pre-hospital delay in patients with acute myocardial infarction: a systematic review and meta-analysis. BMC Cardiovascular Disorders 26. View source
  3. Deutsche Herzstiftung: Herzinfarkt: Anzeichen erkennen und richtig handeln. herzstiftung.de. View source

The complete list of sources is in the app under Help & FAQ.

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