Turning 40 often brings changes in energy levels, sleep and physical stamina. However, symptoms that are new, persistent or worsening should not automatically be blamed on ageing. Heart disease can develop gradually, making early recognition and regular health checks essential.
Warning Signs You Should Not Ignore
Chest pain or pressure is a common heart attack symptom, but heart problems do not always cause obvious discomfort. Other warning signs include:
Unusual fatigue: Feeling exhausted despite adequate rest, particularly when accompanied by other symptoms.
n Breathlessness: Difficulty breathing during everyday activities that previously felt comfortable.
n Dizziness or fainting: Episodes that may indicate a heart rhythm or circulation problem.
n Palpitations: A racing or irregular heartbeat, especially with chest discomfort.
n Swelling in the ankles: Sometimes associated with reduced heart function.
Symptoms in Men and Women
Men commonly experience chest pressure, discomfort spreading to the arms and sweating during a heart attack. Women may experience these symptoms too, but can also report unusual fatigue, nausea, breathlessness, back pain or jaw discomfort. Symptoms vary considerably, and neither men nor women should assume that the absence of chest pain rules out a heart problem.
Protect Your Heart After 40
High blood pressure, elevated cholesterol, diabetes, smoking, physical inactivity and family history can increase cardiovascular risk. Menopause and certain pregnancy complications can also influence women’s long-term heart health.
Adopt a balanced diet rich in vegetables, fruits, whole grains and pulses. Stay physically active within your abilities, prioritise sleep, avoid tobacco and limit excess salt. Regular check-ups can help identify cardiovascular risk factors before symptoms appear.

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