Silent Heart Symptoms in Women Over 40: What Londoners Need to Know
Reviewed by Dr Lauren Holland • Marylebone Diagnostic Centre, London
Results within 24 – 42 hours. Westminster residents receive 20% off cardiac testing.
Heart disease is one of the leading causes of illness in women, yet many women do not recognise the early symptoms. Unlike men, women often experience heart disease in subtle ways. These symptoms may be dismissed as stress, menopause, anxiety, indigestion or fatigue. Early testing can prevent complications and provide clarity.
This guide explains the main silent heart symptoms women should look for, why these symptoms are often missed, and which blood and diagnostic tests can help identify problems early.
How Heart Symptoms Appear Differently in Women
Women are more likely than men to experience symptoms that do not resemble the “classic chest pain” many people expect. Symptoms may come and go, appear under stress, or present as general discomfort.
- Common subtle symptoms include:
- Shortness of breath
- Unusual tiredness
- Chest tightness rather than chest pain
- Jaw pain or pressure
- Upper back or shoulder discomfort
- Nausea or indigestion-like discomfort
- Lightheadedness or dizziness
- Palpitations
- Sleep disturbance
- Swelling in the ankles or legs
Because these symptoms can be caused by many conditions, they are often overlooked. Testing helps distinguish heart-related causes from other issues.
Why Women’s Heart Symptoms Are Often Missed
There are several clinical reasons why heart issues in women can go undetected.
- Women may not develop large artery blockages early on. Instead, they may have issues with the small vessels supplying the heart, known as microvascular disease.
- Symptoms may appear during stress or activity, rather than at rest.
- Symptoms overlap with menopause, thyroid imbalance, anaemia, and anxiety disorders.
- Many women assume heart disease is a “male issue”, delaying testing.
- GPs may focus on other causes unless cardiac risk factors are clear.
Early blood tests and cardiac screening help ensure heart symptoms are not missed.
Silent Heart Symptoms to Take Seriously
Any of the symptoms below should prompt evaluation, especially in women over 40 or in those with risk factors.
- Shortness of breath without exercise
- Chest pressure that feels like a band around the chest
- Pain that spreads to the jaw or left arm
- Sudden weakness or unusual fatigue
- Irregular heartbeat
- Swelling in the ankles or feet
- Indigestion that does not improve
- Nausea with chest or back discomfort
- Sweating with dizziness
If you have a family history of heart disease, high blood pressure, diabetes, smoking, cholesterol issues or chronic stress, early testing is recommended.
Blood Tests That Help Detect Early Heart Problems
Marylebone Diagnostic Centre offers a range of tests that help identify risk early.
These tests provide a clear overview of cardiovascular risk in women.
ECG Testing for Women
An ECG records the heart’s electrical activity. It can detect arrhythmias, conduction problems, and signs of past or current strain.
MDC offers same-day ECG testing. This is recommended if you have palpitations, dizziness, chest pressure or unexplained fatigue.
Why Testing Matters Early
Heart disease can progress silently for years. Many women only receive a diagnosis once symptoms become severe. Early testing helps identify issues before they become dangerous. It also helps rule out cardiac causes when symptoms are due to thyroid issues, anaemia or stress.
Women over 40 should consider annual testing if they have:
- High blood pressure
- High cholesterol
- Family history of heart disease
- Menopause-related symptoms
- Diabetes or prediabetes
- Autoimmune conditions
- Chronic stress
- A sedentary lifestyle
Women, Menopause and Heart Health
Oestrogen has a protective effect on blood vessels. As levels fall during perimenopause and menopause, the risk of heart disease increases. Many women first develop blood pressure changes, cholesterol imbalance or irregular heart rhythms between ages 40 and 60.
Blood tests can help detect these early changes.
When to See a Clinician Immediately
You should seek urgent medical attention if you experience:
- Severe chest pain
- Breathlessness at rest
- Loss of consciousness
- Pain spreading to the jaw or arm
- Sudden weakness on one side of the body
For ongoing symptoms, testing at MDC can help clarify whether your symptoms are cardiac or related to another health issue.
Why Choose Marylebone Diagnostic Centre
- Fast results within 24 – 42 hours
- Same-day ECG testing
- Discreet appointments
- Clear explanations from clinicians
- QC-validated laboratory accuracy
- 5-minute walk from Baker Street Station
- Open Monday to Saturday, 08:00–16:00
Westminster residents receive 20% off
Book Your Heart Health Check in Central London
Marylebone Diagnostic Centre
73 Baker Street, London W1U 6RD
Tel: +44 7495 970109
Monday to Saturday, 08:00–16:00
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