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Heart Attack vs Stroke: Key Differences

Understand the key differences between a heart attack and a stroke, including causes, symptoms, affected organs, and emergency treatments to recognise and respond quickly.

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Written by Dr. Siri Nallapu

Reviewed by Dr. Shaik Abdul Kalam MD (Physician)

Last updated on 20th Aug, 2025

When it comes to heart attacks and strokes, many people confuse the two or assume they are the same. While both are serious medical emergencies that require immediate attention, they affect different parts of the body and have distinct causes, symptoms, and treatments. Understanding these differences can help you recognise the warning signs early and seek timely medical help, potentially saving a life—maybe even your own.

What Is a Heart Attack?

A heart attack (also called a myocardial infarction) occurs when the blood flow to a part of the heart is blocked, usually by a blood clot or plaque buildup in the coronary arteries. Without oxygen-rich blood, the heart muscle begins to die, leading to permanent damage if not treated quickly.

Common Symptoms of a Heart Attack

  • Chest pain or discomfort (often described as pressure, squeezing, or heaviness)

  • Pain spreading to the arms, neck, jaw, back, or stomach

  • Shortness of breath

  • Cold sweat, nausea, or dizziness

  • Fatigue or sudden weakness

Note: Some people, especially women, may experience less typical symptoms like indigestion, extreme fatigue, or pain in the upper abdomen.

What Is a Stroke?

A stroke happens when blood flow to a part of the brain is interrupted, either due to a blocked artery (ischemic stroke) or a burst blood vessel (hemorrhagic stroke). Brain cells begin to die within minutes, leading to potential long-term disability or even death if not treated promptly.

Common Symptoms of a Stroke (Remember "FAST")

  • Face drooping (one side of the face becomes numb or droops)

  • Arm weakness (one arm may feel weak or numb)

  • Speech difficulty (slurred speech or trouble understanding words)

  • Time to call emergency services (every second counts!)

Other symptoms may include:

  • Sudden severe headache

  • Confusion or trouble seeing in one or both eyes

  • Loss of balance or coordination

Key Differences Between a Heart Attack and a Stroke

FeatureHeart AttackStroke
Affected OrganHeartBrain
Main CauseBlocked coronary arteryBlocked or ruptured artery in the brain
Primary SymptomsChest pain, arm or jaw pain, sweatingFace drooping, arm weakness, speech difficulties
Emergency ActionCall emergency medical services immediatelyCall emergency medical services immediately

Who Is at Risk?

Heart Attack Risk Factors

  • High blood pressure

  • High cholesterol

  • Smoking

  • Diabetes

  • Obesity

  • Family history of heart disease

  • Sedentary lifestyle

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Stroke Risk Factors

  • High blood pressure (biggest risk)

  • Atrial fibrillation (irregular heartbeat)

  • Smoking

  • Diabetes

  • High cholesterol

  • Obesity

  • Previous stroke or mini-stroke (TIA)

How to Prevent Heart Attacks and Strokes?

Many risk factors for both conditions overlap, so adopting a heart-healthy lifestyle can reduce your chances of both:

1. Eat a Balanced Diet

  • More fruits, vegetables, whole grains, and lean proteins

  • Less salt, sugar, and saturated fats

2. Stay Active

  • Aim for at least 30 minutes of moderate exercise (walking, swimming, cycling) most days.

3. Quit Smoking & Limit Alcohol

  • Smoking damages blood vessels—quitting reduces risk significantly.

  • Excessive alcohol raises blood pressure—moderation is key.

4. Manage Chronic Conditions

  • Keep blood pressure, cholesterol, and diabetes under control with regular check-ups.

5. Know the Warning Signs

  • Acting fast can save lives—don’t ignore symptoms!

When to Seek Emergency Help?

If you or someone around you experiences:

  • Sudden chest pain (heart attack)

  • Face drooping, arm weakness, speech trouble (stroke)

Call emergency services immediately. Do not wait—early treatment improves survival and recovery chances.

Conclusion

While heart attacks and strokes are different, both are life-threatening and require urgent medical care. By understanding the symptoms and risk factors, you can take steps to protect yourself and your loved ones. Prevention is always better than cure, so make healthy lifestyle choices today to safeguard your heart and brain.

If you have concerns about your heart or stroke risk, consult a doctor for personalised advice. You can easily book a consultation or health check-up through Apollo 24|7 to stay on top of your health.

Consult Top Specialists

Dr. Anand Ravi, General Physician

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General Physician

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Dr. Bhukya Pavan Kalyan, General Physician

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Bengaluru

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Dr. Tripti Deb, Cardiologist

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Cardiologist

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Hyderabad

Apollo Hospitals Jubilee Hills, Hyderabad

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Dr. Zulkarnain, General Physician

Dr. Zulkarnain

General Physician

2 Years • MBBS, PGDM, FFM

Bengaluru

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Consult Top Specialists

Dr. Anand Ravi, General Physician

Dr. Anand Ravi

General Physician

2 Years • MBBS

Bengaluru

PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru

400

60 Cashback

Dr. Bhukya Pavan Kalyan, General Physician

Dr. Bhukya Pavan Kalyan

General Physician

5 Years • MBBS DNB Paediatrics

Bengaluru

PRESTIGE SHANTHINIKETAN - SOCIETY CLINIC, Bengaluru

650

98 Cashback

Dr. Tripti Deb, Cardiologist

Dr. Tripti Deb

Cardiologist

40 Years • MBBS, MD, DM, FACC, FESC

Hyderabad

Apollo Hospitals Jubilee Hills, Hyderabad

550

55 Cashback

1000

No Booking Fees

Dr Moytree Baruah, Cardiologist

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Cardiologist

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Apollo Clinic Guwahati, Assam, Guwahati

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Dr. Zulkarnain, General Physician

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2 Years • MBBS, PGDM, FFM

Bengaluru

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