In the viral Twitter thread, which has received more than 24,000 retweets so far, the woman added that she is “older” and a nurse, but she still missed the symptoms because “it wasn’t what you read in pamphlets.”

The heart attack came after a week spent helping her neighbor “clean out her barn” and driving six hours to help her mother in another state. “I thought I strained some muscles,” the woman notes. She took some painkillers and “put a warm pack on my shoulders. I almost died because I didn’t call it chest pain… I thought I should go to a doctor but I had to help my mom who is 90 and I’d just tough it out because it wasn’t real bad.”

According to the Cleveland Health Clinic, women are less likely to have chest pain and more likely to have “subtler” symptoms for three or four weeks before a heart attack. “This includes uncharacteristic tiredness, especially after simple activities and shortness of breath and sweating, particularly without significant exertion or if the shortness of breath worsens while lying down and improves while sitting up. The clinic also noted pain in the neck, back, jaw and both arms as a symptom that should raise the alarm for women.

But the viral Twitter thread also hit upon a worrying trend among women: that they are more likely than men to suffer through chronic pain without seeking medical help.

This viral Twitter thread spotlights heart attack symptoms every woman needs to know