If you have any combination of these symptoms, call for help immediately. “Don’t die of embarrassment,” said Heather Quintana of the American Heart Association in Portland. “Not all of these symptoms need to occur at the same time. Very often there are warning signs and people don’t recognize them.”

. Pain, pressure or both in the chest

. Pain spreading to the shoulders, arms, back, neck, jaw or stomach

. Shortness of breath

. Sweating

. Fatigue

. Feeling “sick to your stomach”

. Feeling faint

. Feeling dizzy

The American Heart Association urges women to ask their doctor about the risks they face and about the preventive measures they should take.

For more information, visit americanheart.org or call (800) AHA-USA1.