Signs and Symptoms of Heart Disease and Heart Attacks Signs and symptoms of coronary heart disease (CHD) can be different with women and men. Some women may have no signs or symptoms - called silent CHD. Sometimes it may not be diagnosed until a women exhibits signs and symptoms of a heart attack, heart failure, or arrhythmia (irregular heartbeat). Code STEMI No other provider in western North Carolina is home to more cardiovascular innovation, coordinated care, and talent than Mission Hospital and Asheville Cardiology Associates. Our heart physicians are dedicated to providing groundbreaking, comprehensive care to our heart attack patients. During a heart attack, time matters. Mission Heart and ACA physicians boast one of the lowest door-to-treatment times in the country. Signs of Coronary Heart Disease Angina (dull, heavy to sharp chest pain or discomfort) Pain in the neck, jaw, throat, upper abdomen or back Signs of a Heart Attack Chest pain or discomfort Upper back or neck pain Indigestion Heartburn Nausea and vomiting Extreme fatigue Upper body discomfort Shortness of breath Signs of Arrhythmia Fluttering feelings (palpitations) Signs of Heart Failure Shortness of breath Fatigue Swelling in feet, ankles, legs and abdomen