Minnesota Women's Press | St. Paul, MN


DakotaJazz.TopBanner.1-2017

home : commentary : leadervoice October 19, 2017

What is your heart telling you?
[My patient] had been very insistent that something was wrong, and not only was I happy I listened to her, but I was glad she advocated for herself. She listened to the little voice in her head that said, "I just don't feel right."
-- Lynn Hoke

by Lynn Hoke


"Is this pain from my heart or not?"

I find this question often difficult to answer for women who have concerns about their heart health. Women can have classic heart symptoms, but they also can have very unusual symptoms. Sometimes I tell my women patients that anything above your navel and below your nose is fair game for heart pain.

One of my most memorable experiences was of a woman who had chest pain only when she bent over, which is not a usual symptom pattern for heart-related pain. I followed protocol and did an ECG, which turned out to be abnormal. Subsequently, she had surgery to bypass her blocked artery and this relieved her pain. She had been very insistent that something was wrong, and not only was I happy I listened to her, but I was glad she advocated for herself. She listened to the little voice in her head that said, "I just don't feel right."

My message to women (and men): When in doubt, check it out!

Often test results reveal that symptoms are not heart-related, and some patients - particularly women - worry that they will feel foolish or embarrassed. My message to them is to jump with joy if your tests are good and pat yourself on the back for using an expert to answer your questions. Remember, your health care provider went through years of training to be able to help you answer the question: "Is this pain from my heart or not?"

Unusual fatigue and shortness of breath are symptoms that are particularly common for women who have heart disease. Here are some signs and symptoms of heart attack and pre-heart attack (angina) pain:

ShoeDreams.4-2017.InContent Banner


• Angina: pain, discomfort, pressure or tightness in the middle of the chest that lasts for more than a few minutes or goes away and then comes back; sometimes mistaken for heartburn
• Pain or discomfort in the upper body, including arms, left shoulder, back, neck, jaw or stomach
• Difficulty breathing or shortness of breath
• Cold sweat or sweating
• Feeling of indigestion, choking or heart-burn
• Nausea or vomiting
• Feeling dizzy, light-headed or extremely weak
• Feeling anxious
• Rapid or irregular heartbeats
• Unusual fatigue
Lynn Hoke is a nurse practitioner at the University of Minnesota's Women's Heart Clinic.

Got a leadership story?
We'd like to hear it. Click here for writer's guidelines Email your 450-word personal essay to editor@womenspress.com





Article Comment Submission Form
Please feel free to submit your comments.

Article comments are not posted immediately to the Web site. Each submission must be approved by the Web site editor, who may edit content for appropriateness. There may be a delay of 24-48 hours for any submission while the web site editor reviews and approves it.

Note: All information on this form is required. Your telephone number is for our use only, and will not be attached to your comment.
Submit an Article Comment
First Name:
Required
Last Name:
Required
Telephone:
Required
Email:
Required
Comment:
Required
Passcode:
Required
Anti-SPAM Passcode Click here to see a new mix of characters.
This is an anti-SPAM device. It is not case sensitive.
   



Advanced Search





HueloellerGontarek.halfpg.7-2017

<October>
SMTWTFS
1 2 3 4 5 6 7
8 9 10 11 12 13 14
15 16 17 18 19 20 21
22 23 24 25 26 27 28
29 30 31        

U of M Cont Educ ROS banner 7-2017

Home | Features | Commentary | ReadersWrite | e-Edition | Get A Copy | Calendar | Classifieds | Advertise | Women's Directory | BookWomen | Extras | Life
Minnesota Women's Press, Inc., 651-646-3968
Site Design and Content
Copyright 2017
1up!

Software © 1998-2017 1up! Software, All Rights Reserved