Heart attack, also known as myocardial infarction, is a condition that occurs when you don't have enough blood flow to some of your heart muscle. When the blood flow is disrupted, the heart muscle starts to die. If blood flow is not restored quickly, a heart attack can lead to permanent damage to the heart or even death. There are several factors that impact this blood flow, however, in most cases, it is due to a blockage in one or more of the heart's arteries. The World Health Organization (WHO) says that 19.8 million people died from cardiovascular disease (CVDs) in 2022, which is 32% of all global deaths. Of these deaths, 85% were due to heart attack and stroke.
A heart attack is an emergency situation and it is extremely important to treat it on time. Spotting the warning signs of heart attack can help prevent an impending doom. The warning signs of a heart attack can appear in the morning and it can be subtle. It is linked to circadian rhythms that increase cardiovascular stress upon waking. Here are some of the warning signs of heart attack that can appear in the morning.
Warning Signs Of Heart Attack
1. Chest Discomfort
This is a classic morning heart attack sign, which usually shows up between 6 AM and noon when blood pressure and clot formation peak. One might feel pressure, tightness, squeezing, or burning in the chest, lasting over a few minutes or recurring intermittently. Also, hormonal spikes like cortisol increase risk of plaque rupture in arteries. This explains why many people experience this upon waking up.
2. Shortness of Breath
Unexplained shortness of breath upon waking signals impaired heart pumping, which is common in the mornings. People gasp for air during rest or light tasks like getting out of bed, even without chest pain. This happens because the heart struggles with stiffened arteries from overnight dehydration and plaque buildup. This symptom affects women more and worsens with anxiety-like feelings, which happens from low oxygen delivery to tissues, along with fatigue.
3. Unusual Fatigue
Morning fatigue or weakness happens due to the heart's overnight workload. People tend to feel unusually drained upon waking and they also struggle with simple routines like dressing. This happens because myocardial oxygen demand increases. This sign appears weeks ahead in 40-70% of cases, linked to inflammation and autonomic shifts. If this is persistent despite rest, it can be a sign of an impending heart attack.
4. Nausea or Indigestion
Morning nausea, vomiting, or indigestion-like bloating mimics digestive issues but it stems from vagus nerve irritation during cardiac distress. It peaks as stomach acid increases after fasting. Unlike acid reflux, this persists even after meals as reduced heart output impacts the flow in the gut. Diabetics and elderly dismiss it frequently, yet it's a key sign in 20-30% of attacks.
5. Cold Sweats
Waking up drenched in cold and clammy sweat, without feeling hot or exercising, means that your body's stress system is in overdrive. Your body pumps out adrenaline to boost a weakening heart, mimicking flu chills but this sweat is focused on your face, neck, or chest. This points to poor blood flow and an imbalance in the nervous system. Morning stress hormones make it worse in 25-40% of heart attack cases, often with pale skin.
6. Dizziness or Lightheadedness
Feeling dizzy or faint when standing up signals to a sudden drop in blood pressure. Lying flat overnight plus morning hormone spikes make it hit hard even during simple moves like sitting up. It affects 10-20% of people before a heart attack (especially in people over 40).
Disclaimer: This content including advice provides generic information only. It is in no way a substitute for a qualified medical opinion. Always consult a specialist or your own doctor for more information. NDTV does not claim responsibility for this information.
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