While scrolling through my facebook feed two years ago, I literally stopped in my tracks.  I clicked on a link from an old classmate, Amy Drucker, and was saddened and surprised to hear that she had suffered a heart attack.  Amy wrote a poignant open letter to “Mamas Who Do It All. (And What Mamas Don’t?)” I am sharing it with you in the hopes that you will take her words to heart (no pun intended).

Unfortunately, Amy’s experience is not unique.  In fact, in the past few years, I have had several other friends experience heart attacks–the odds are that you do too.  These have all been women, in their late 40s or early 50s, that do not fit the stereotypical profile for heart attack victims.  Additionally, their symptoms were unlike the movie version of a “male heart attack” and much easier to explain away as something not serious or life-threatening.  Amy, beautifully shares her story and offers a much needed wake up call for Moms everywhere–make yourself a priority!


An Open Letter to Mamas Who Do It All. (And What Mamas Don’t?)

I’m forty-eight years old. I’m not overweight and I don’t smoke or drink or have high blood pressure. If you don’t count a tall, strong cup of coffee every morning and a small dark piece of chocolate most evenings, my diet is pretty reasonable. I am by no means an athlete or fitness buff, but I live a fairly active lifestyle and consider myself pretty healthy.

At least, I did until last Tuesday when I had a heart attack.

Sitting on my couch, gearing up for the dinner/homework/bedtime marathon, both of my kids otherwise engaged (that’s Momspeak for “having screen time”) I suddenly had a terrible case of heartburn. I recognized the pain, but this was worse and somehow different. I had read articles about how the classic grab-your-chest-left-arm-pain you imagine when you think “heart attack” isn’t always the same for women. Yet, I ignored the fact that I was experiencing chest pain and made sure everyone was taken care of before finally giving in and laying down to rest. Because that’s what we, as mothers, tend to do, right? We push through. I mean, after pushing tiny humans out of your vagina, almost no pain is unbearable.

I sucked it up for more than twelve hours and the next day, after getting my youngest off to school, I drove myself to the hospital.

Just moments after the words “heart” and “attack” were spoken, the doctor sat at my bedside and asked me, with a straight face, if I had been under any extreme stress lately. I took a short break from trying to figure out the logistics of who was going to pick up my son from school and get him to his after school activity and shot the nice man a confused expression.

Really?

I have two children. And a job and a husband and an ex-husband and a mortgage and aging parents and in-laws and last week my older son totaled our only working car (he was fine), and oh yeah, a personal life. Who among us isn’t under extreme stress? Add in any illness or other out-of-the-ordinary occurrence and it all falls apart.

Your load is undoubtably different than mine, and I’m sure we all carry it in our own way, but damn if we don’t all carry it. Ask any mother what happens when it all gets too heavy (and it always does) and something’s got to give. The answer is always: us. We’re the ones that give.

Motherhood is a precarious balancing act. A state of being constantly underwater. We paddle continuously and with very little regard for how tired it makes us. Our kids are sick? We work from home while holding the bucket. No food in the fridge? On it. Business is slow this month? I’ll up my bookings. All while shouldering the burden of everyone else’s issues. Even if we do find time for ourselves, it’s not always enough to relieve the pressure.

I’m not here to tell you that you’re doing it wrong, Dear Mamas. Absolutely, the kids need dinner and the work needs doing, the bills need paying and that laundry sure as hell isn’t going to fold itself. Go ahead and do it all, but hear me when I tell you that you have to find a relief valve for yourself because it turns out that keeping everything together might be exactly the thing that undoes it all.

Amy Drucker

May 31, 2017

 


Thankfully, Amy is in good health now and is living a full life as a talented photographer, mom, wife, daughter, sister and friend.  Hopefully her story and the information below, will inspire awareness about the often misunderstood signs and symptoms of heart attacks in women.

Additionally, moms of every age need a reminder to put ourselves on our own list of priorities (easier said than done!).  Dr. Nieca Goldberg, M.D., medical director for the Joan H. Tisch Center for Women’s Health at NYU’s Langone Medical Center, explains that women often ignore the signs for several reasons including the fact that “they are scared and because they put their families first and there are still many women who are shocked that they could be having a heart attack.”  Get informed, spread the word, and take action if needed.

What you need to know about women and heart attacks!

  • Heart disease is the leading killer of women in the United States.
  • Women may not experience crushing chest pain:

While 25 percent of women experience the well know symptom of crushing chest pain, 75 percent of women will not. “Two-thirds of men experience the typical Hollywood heart attack with chest pain, while only one-third of women do,” says Dr. C. Noel Bairey Merz, medical director of the Barbra Streisand Women’s Heart Center at Cedars-Sinai.

  • Women may experience more subtle and less well known symptoms:

Women’s heart attack signs are usually less well known. Dr. Nieca Goldberg says, “Although men and women can experience chest pressure that feels like an elephant sitting across the chest, women can experience a heart attack without chest pressure. Instead they may experience shortness of breath, pressure or pain in the lower chest or upper abdomen, dizziness, lightheadedness or fainting, upper back pressure or extreme fatigue.”  You do not need to experience all of the symptoms to be having a heart attack, even one is cause for concern.

  • Women and physicians may attribute symptoms to something else:

Women and even physicians, often discount the subtle signs of a heart attack that a woman may be experiencing.  Typically it gets attributed to the flu, acid reflux, or even normal aging. Do not assume you are short of breath because you are out of shape, or you are breaking out in a cold sweat because of a hot flash.

These subtle signs are equally as life-threatening as the more pronounced symptoms of a heart attack.  Additionally, symptoms may disappear and then return so it is crucial not to minimize the need for help if that happens. Be assertive and do not feel embarrassed or shy to bring up the possibility that your symptoms may be coming from a heart attack.

  • Get immediate medical attention:

Ignoring these symptoms can be extremely dangerous. “Delay in diagnosis and treatment of a heart attack can result in death,” says Dr. Bairey Merz.  Call 911 immediately if you suspect you are experiencing any signs of a heart attack.  According to the American Heart Association,”Learn the signs, but remember this: Even if you’re not sure it’s a heart attack, have it checked out. Minutes matter! Fast action can save lives — maybe your own. Don’t wait – call 911 or your emergency response number.”

  • Take an aspirin after you call 911:

Do not take an aspirin instead of calling 911! Dr. Goldberg says that many women will only take the aspirin however she strongly cautions women to do both: “if they think about taking an aspirin for their heart attack, they should also call 9-1-1.”

Dr. Anthony Komaroff, M.D., Editor in Chief of the Harvard Health Letter, also recommends calling 911 and then taking an aspirin, “It may sound ridiculous that, in the face of a potentially life-threatening event, we’re advising you to “take an aspirin.” But it is well established that this step can keep an impending heart attack from occurring. Even if you take a baby aspirin every day to reduce your risk of heart attack, take another now! (This advice all assumes that you do not have an allergy to aspirin, and that your doctor has not advised you against using aspirin because, for example, you are at risk for bleeding.)”

Dr. Komaroff says that you should take, “a regular-strength (325-mg) aspirin pill that is not enteric-coated. Don’t swallow it; chew it, and then swallow it with a glass of water. Doing it that way gets the aspirin into your system rapidly, which is what you want. In an impending heart attack, a blood clot is forming in one of your heart’s arteries, blocking the blood supply to a part of your heart. Aspirin can help dissolve the clot before there’s permanent damage to the heart.”

Summary:

  • Know the symptoms
  • Do not ignore the symptoms
  • Call for help immediately and take an aspirin
  • Help spread the word
  • Do not forget to see your doctor about your heart health

Signs of Heart Attack in Women

Infographic from the heartfoundation.org

Share this article on social media to help spread awareness! 

Resources:

Check out Amy’s photography on Instagram @amydrucker or amydrucker.com

American Heart Association

Cedar-Sinai

Mayo Clinic

Medical Disclaimer: No content on this site, regardless of date, should ever be used as a substitute for direct medical advice from your doctor or other qualified clinician.