In This Article
Chest discomfort is not always dramatic
Textbook crushing chest pain happens in a minority of cases. Many patients describe a heaviness, tightness or burning that comes with exertion and eases with rest. If a walk up the stairs reliably brings on discomfort, that pattern matters more than its intensity.
Breathlessness and unusual fatigue
Feeling winded after activities that used to be easy, or waking at night short of breath, can indicate the heart is struggling to pump efficiently. Women in particular often report fatigue rather than pain.
Swelling, palpitations and dizziness
Ankle swelling by evening, a racing or irregular heartbeat, and light-headedness on standing are all worth a proper assessment with an ECG and echocardiogram.
The takeaway
If you have two or more of these signs, book a cardiology consultation. An ECG takes five minutes and can change the course of your life.

Written By
Dr. Ayesha Rahman
Child Specialist & Pediatric Cardiologist · MBBS, BCS (Health), FCPS (Paediatrics), MD (Paediatric Cardiology)
Dr. Ayesha Rahman is a consultant Child Specialist & Pediatric Cardiologist with 14 years of experience, currently attached to Bangabandhu Sheikh Mujib Medical...

