Post by : Saif Rahman

Movies often show heart attacks as dramatic chest pain and collapse, but real-world cases frequently present differently. Dr Jeremy London, a cardiac surgeon with more than 25 years of clinical experience, says many patients never report the intense chest pain viewers expect. Instead, they may notice dizziness, unexplained tiredness or other mild symptoms that are easy to dismiss.

Speaking on social media about his years treating cardiac patients, Dr London challenged the widespread belief that severe chest pain is the defining symptom. "Not everyone experiences the movie-style chest pain," he said. "A significant number of heart attacks occur with much subtler signs, and patients may not realise what is happening."

He warned that certain groups — including women, older adults and people living with diabetes — commonly have atypical presentations. Rather than sharp chest discomfort, these patients might feel shortness of breath, nausea, or an odd pressure radiating to the back, neck or jaw. Others report only weakness or unusual fatigue.

Dr London outlined the basic physiology: the heart receives oxygen through coronary blood vessels, and a blockage reduces that supply, triggering a heart attack. Yet the body does not always respond with clear alarms. Mild or transient sensations are often mistaken for stress, indigestion or simple tiredness, which can delay urgent care.

"Research shows patients without chest pain tend to arrive at hospital later," Dr London added. "That delay can be critical. If something feels wrong, seek medical attention without hesitation."

He urged people to take seriously sudden onset of tiredness, breathlessness or dizziness—even if symptoms subside. Early recognition and prompt evaluation can make a decisive difference.

Cardiologists emphasise that rapid intervention saves lives. Emergency tests such as ECGs and blood markers help identify blockages, and restoring blood flow quickly improves outcomes. The sooner treatment begins, the better the chance of recovery.

Prevention remains central to reducing risk. Dr London recommended regular medical check-ups, consistent physical activity and a balanced diet. Quitting smoking, managing cholesterol and controlling blood pressure are key measures to lower heart disease risk.

Drawing on his clinical experience, Dr London offered a straightforward message: heart attacks do not always match dramatic portrayals. Learning the quieter signs and acting promptly can prevent serious harm.

Heart disease continues to be a leading cause of death globally, but greater awareness, timely care and healthier lifestyles can reduce the burden and improve survival.

He concluded with a practical reminder: "Don't wait for severe pain. If your body feels off, get assessed. It's safer to check it out."

#Wellness