Overland Court

Signs of a Heart Attack or Stroke: What Seniors and Families Should Know

Written by Overland Courts | Dec 8, 2025 5:00:00 AM

When it comes to senior health emergencies in Boise, ID, time is of the essence, prompting families to spot the signs of a heart attack or stroke right away, like the breathing issues of a heart attack or the B.E.F.A.S.T. symptoms of a stroke. The signs can also be quite vague, ranging from nausea to dizziness.

While one event affects the heart and the other affects the brain, both necessitate quick action, starting with an immediate call to 911. According to data from the American Heart Association, every 34 seconds, an individual dies from heart disease, while stroke deaths in the U.S. have increased by more than 28% in the U.S between 2012 and 2022.

Learn more about stroke warning signs and heart attack symptoms in aging adults, including critical differences, plans of action, and strategies for lowering risk.

What's the Difference Between a Heart Attack and a Stroke?

A heart attack, called a myocardial infarction, is triggered by a blockage of blood flow to the heart muscle, causing a blood clot in the coronary arteries. As a result, this blockage prevents oxygen from getting to the heart muscle, which leads to immediate (and critical) tissue damage or even death if emergency aid isn't administered in time.

A stroke is another type of senior health emergency, also called a cerebral vascular accident. This is a type of brain attack that occurs when blood flow to a senior's brain is interrupted.

There are two types of strokes.

The first is ischemic, which is a stroke caused by a clot. The second type is a hemorrhagic stroke caused by a ruptured or burst vessel. These events prevent brain cells from receiving the immediate oxygen and nutrients they need to survive, resulting in rapid brain cell death.

What Are the Signs of a Heart Attack in Seniors?

If a younger person gets a heart attack, they may experience severe or even crushing chest pain. However, with seniors, the signs can be more subtle or confused with other conditions or normal aging. Vague heart attack signs, like stomach problems and tiredness, are also known as atypical presentations.

Families and caretakers of seniors must be vigilant in identifying atypical presentations for emergency preparedness.

For example, shortness of breath is a common sign of a heart attack in old age. Seniors may wake up suddenly at night, struggling to breathe. It can occur during the day; pay attention when a senior voices any difficulty with breathing.

The next common sign is a sudden wave of fatigue. A senior may need to sit down in the moment. This can be accompanied by overwhelming exhaustion with no clear reason.

Indigestion can be more than gut-related. Along with nausea, this is another common (and atypical) sign of a senior heart attack. Heartburn is another sign to watch.

If a senior suddenly feels noticeably confused or even delirious, that may be a sign of a heart attack. 

What if the pain isn't in the chest? A senior heart attack may manifest as back pain, or even pain in the following areas:

  • Shoulders
  • The jaw
  • Neck
  • Arms

Pain can occur in either the right or left arm, contrary to popular belief that it only occurs in the left arm.

What Are Stroke Warning Signs in Seniors?

All caretakers and families should know the B.E.F.A.S.T. method for recognizing stroke signs. The first "B" set of signs refers to balance:

  • Sudden dizziness
  • Loss of coordination
  • Difficulty walking

The next set of signs, the "E" signs, refers to eyesight-related symptoms. Look out for the following:

  • Sudden onset of blurry vision
  • Double vision
  • Loss of eyesight (in one or both eyes)

The "F" set of senior stroke signs describes symptoms specific to face drooping. For example, is one side of the face sagging, or is the face drooping when smiling?

"A" set stroke signs refer to arm-related signs, especially weakness. When the person raises their arms, does one arm fall downward?

Speech difficulties comprise the "S" set of signs. Listen for slurred speech. Is a senior having difficulty comprehending simple questions?

The "T" in the B.E.F.A.S.T. reminds caretakers that it's time to call 911. Call 911 as soon as you notice any of these signs, even if they seem minor.

Frequently Asked Questions

How Do You Respond to the Warning Signs of a Heart Attack or Stroke?

The first step is to call 911 immediately. Stay on the line with an emergency service dispatcher as you wait for a paramedic.

If a senior is having a heart attack, loosen any tight clothing, like belts or collars. Help them stay calm or still. You may be asked to administer any heart-related medications currently prescribed.

If a senior is experiencing a stroke, make sure they're positioned in a safe area as you wait for emergency services. Avoid giving them water or food since strokes can cause swallowing issues, which can cause choking.

Can Exercise Reduce the Risk of Strokes and Heart Attacks?

Yes, exercise can help lower the risk of serious senior health events. Even a brisk walk every day can make a difference. Seniors, especially those with diabetes, should aim for at least 150 minutes of low-impact exercise per week, according to Medical News Today.

What Kinds of Lifestyle Changes Should Seniors Make?

Beyond exercise, seniors are encouraged to quit smoking to lower their heart and stroke risk. Simple diet adjustments can also make a difference; balanced meals should include:

  • Omega-3s
  • Whole grains
  • Fruits
  • Vegetables

Seniors should also aim to get more sleep. A Harvard Health study found that irregular sleep patterns may increase the risk of heart attacks and strokes.

Start a Senior Health Journey

Take this time to plan a senior heart health journey and stroke prevention plan for yourself or a senior in your life. Use this guide to create a checklist for senior brain and cardiovascular care. Include tips on signs of a heart attack or stroke, emergency response, and lifestyle modifications. 

The team at Overland Court understands the importance of seniors having a calm and supportive spot to call home in their golden years. Wellness is a top priority in our community.

We're committed to providing daily balanced meals, exercise, socialization, and creative enrichment for a holistic approach to senior well-being. Our amenities include an outdoor walking path and a health & wellness center.

Tour our community to learn more!