Hi, I was asleep and woke up with a sharp
Unlikely to be a heart attack
Hello and welcome,
There are two things that make me think this was unlikely to be a heart attack. The first is that it was a sharp pain. When the heart is not getting enough oxygen during a heart attack, the pain is typically a pressure, crushing type of pain - not sharp. The second thing is that the pain seems to have been positionally related and went away abruptly. A heart attack doesn't change much with positional changes, and does not stop that abruptly.
So - this pain was due to something else. My best guess, without being able to examine you, is that it was musculoskeletal in origin - a strained muscle or pinched nerve. The second possibility is acid reflux or gas pains, which can sometimes be sharp and wake people from sleep, making them feel like they are having a heart attack.
You are at risk for heart disease (and other medical problems) because of the tobacco. If you are still menstruating, the estrogen provides some protection until menopause, but not full protection. I know that for most people it is terribly hard to quit smoking - it becomes both a friend and a chemical addiction. But quitting is possible, even if you haven't had success before. And some people find it easier with some of the medications (I know you are not a fan of rxs, but I thought I'd put that out there). In particular, I've had success with people taking the prescription Zyban (the antidepressant bupropion) as it markedly cuts down on people's cravings for tobacco and also provides the pick-me-up that people turn to cigarettes for, at least during the smoking cessation phase.
I hope this information helps. Please let me know if I can provide further info/clarification.