What are the symptoms of a heart attack for women? How do you know? I am 45 and a woman. I have been having pain in my shoulders and mid back, trouble breathing, and dizziness . I have been using my inhaler every 2 hours and have been taking 800mgs of motrin for the pain and a gas X and previcid for my stomach. The breathing problems seems better but I am still in some pain. My husband, a nurse, says I am not presenting the symptoms of a heart attack and thinks it is more upper respiratory related. I have also had sore shoulders for a while with limited movement that my doctor thinks is my rotator cuff. Do you think I should ride it out on pain meds and albutoral or go to the emergency room ? I m not in distress as much as I was. Any suggestions? Thanks!