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Feelings of fatigue, abdominal or back pain, nausea, shortness of breath are sometimes the only signs a female may have before a heart attack. Although men and women’s hearts are made the same and they both accumulate plaque there is a subtle difference. The plaque in women’s hearts seems to be spread out more throughout the vessel lining. It is assumed that this may be why women don’t exhibit the same symptoms as men. Heart disease may not be discovered in women as much as it is in men because of different symptoms. Physicians are looking for the tell tale