Symptoms of a heart attack in women after the onset of menopause are similar to those of men. Until then, many women do not seek medical attention, writing off ailments as trivial conditions. The problem often reveals itself as a heart issue a while later. Let’s look at some of the heart attack signs that can be missed and attributed to other causes. ## Pain resembling menstrual pain In medicine, there is such a notion as reflected pains: when the unpleasant sensations arise not in the area where the problem is located but in a remote one. Heart pain in young women is often "reflected" in the lower abdomen or lower back. Patients usually describe them as ovulation pains or PMS pains, without checking the day of the cycle. If such sensations occur randomly, it makes sense to see a doctor. ## Difficulty breathing This is where smokers and people living in regions with unfavorable environmental conditions are at greater risk because sudden coughing fits or difficulty breathing in or out can occur from time to time. However, you should always take difficult breathing as a warning sign. Consult your doctor and see if it is a sign of heart issues. ## Anxiety disoder Our lives are full of stress, and anxiety itself is not ===something most people associate with a heart attack. However, severe anxiety or a panic attack can often foreshadow an oncoming heart attack. That's why in the initial stage of a heart attack many people feel panic, although the actual pain has not yet arisen. Be on the lookout for sudden unexplained anxiety. ## Constant fatigue Trouble sleeping and a feeling of fatigue have become a common occurrence for many. While many have periods of increased fatigue for various reasons, make an appointment with your doctor if you are finding yourself fatigued for no apparent reason. ## Trembling in the hands This symptom is often attributed to an injury, osteochondrosis, or neurological disorders. However, people typically know when they have these conditions. If trembling occurs for no apparent reason, consult your doctor. ## Conclusion While young women often think that heart attacks are a distant possibility, they do occur. Keep an eye out for these signs, and consult your doctor immediately if you experience any of them without explanation.