Heart attacks don’t always look like they do on TV. The dramatic clutching of the chest and collapsing to the ground isn’t the only sign. In fact, many women experience different symptoms than men—and they often hesitate to call for help. So, why do women hesitate to call 000 during a heart attack?

Dr. Kathryn Eastwood from Monash University recently discussed this issue with Doug on Table Talk, highlighting key findings from research on heart attack hesitation, particularly among women.

Women Wait Longer to Call for Help

Studies show that women tend to delay calling an ambulance for nearly four hours longer than men. “Women expressed being very uncomfortable with calling 000 if they had heart attack symptoms,” Dr. Eastwood explained. Many listed various reasons for their hesitation.

One major factor? The way symptoms appear.

How Heart Attack Symptoms Differ in Women

Most people think of chest pain as the main sign of a heart attack. But for women, symptoms can be less obvious.

“Some women feel pain between their shoulder blades, while others have no pain at all,” Dr. Eastwood said. “Symptoms can come on more slowly, making them easier to dismiss.”

Common symptoms in women include:

  • Unexplained fatigue over several days
  • Nausea or vomiting
  • Jaw, neck, or back pain
  • A fluttering or sinking feeling in the chest
  • Shortness of breath

Since these signs don’t always seem urgent, many women assume they are caused by something else.

The Problem with Hesitation

One reason women delay calling an ambulance is because they don’t want to be a burden. “They’ll call family or friends first to see what they think,” Dr. Eastwood said. While seeking advice might seem reasonable, it adds to the delay.

Some women also believe that heart attacks are more common in men. However, after menopause, the risk becomes nearly the same for both genders.

Cost is another concern. “People who weren’t sure if they had ambulance insurance were less likely to call for help,” Dr. Eastwood shared.

When in Doubt, Call 000

If you feel anything unusual in your chest—even if it’s not pain—seek medical attention immediately. “People sometimes say they don’t have pain, but then describe it as an elephant sitting on their chest,” Dr. Eastwood said. Any new sensation in the chest should be taken seriously.

Be Proactive About Heart Health

Heart attacks are preventable, and early detection saves lives. “Everyone should check in with their GP every year,” Dr. Eastwood advised. “Find out your cholesterol levels, blood pressure, and ask for an ECG.”

Her biggest takeaway? Don’t wait. “You’re better off calling an ambulance and finding out it’s nothing than delaying and causing permanent heart damage.”

If you’re unsure, make the call. Your life depends on it.