People can go years with no idea they have something wrong with their heart. Symptoms can be vague and subtle and many heart conditions are ‘hidden’ – meaning they’re not obvious from the outside. “Hidden heart conditions often go undiagnosed for too long, until something goes wrong or it’s too late,” says Sindy Jodar, senior cardiac nurse at the British Heart Foundation (BHF). “That’s why it is important to never ignore the signs of heart disease and get yourself checked, just to be sure.” While some warning signs are easy to spot – such as severe chest pain and collapse – there are also many little indicators that something could be wrong with your heart or circulatory system. These won’t necessarily mean you have a heart problem, but it’s always best to have them investigated. From tiredness and nausea to fainting, here are some of the less obvious symptoms everyone needs to know about… 1. Feeling unusually tired Dr M Adil U Khan, a GP at Pall Mall Medical, says you should not “ignore or downplay unusual levels of tiredness”. While it’s normal to feel exhausted if you’ve been very busy or lacking sleep, he adds: “Feeling unusually tired, especially if it’s not related to exertion, should be investigated.” It could be due to something like anaemia, a virus, or even linked to mental health. It could also be related to your heart, so it is important to have it investigated. 2. Subtle discomfort “Look out for subtle discomfort in different areas of your body, including discomfort or pain in the jaw, neck, back, or stomach, which can be associated with a heart problem,” says Khan. If symptoms are out of the norm for you and aren’t going away, it’s always best to get them checked. 3. Unusual swelling Perhaps you have noticed your ankles look particularly puffy, or maybe it’s your general tummy area that’s constantly swollen for no apparent reason. “Unexplained swelling, known as oedema, in the legs, ankles or abdomen, may also be signs of heart failure,” explains Khan. 4. Vomiting and a choking sensation Sudden vomiting or a choking sensation in your throat is something to be wary of too. “While not every bout of nausea means there could be something serious happening, feeling sick combined with other aches and pains, such as severe chest pain, should ring an alarm bell,” says Jodar. Yes, it could be a stomach bug, but if you are having sudden spells of vomiting and nausea more regularly and you’re not sure why, don’t delay in get things checked out. 5. Fainting If you experience sudden fainting, this is a big indicator of something being awry. “If fainting or any other symptom becomes a problem, consult a healthcare provider and schedule an appointment with a doctor or cardiologist,” says Khan. “Discuss your symptoms, medical history and risk factors with them. “Your healthcare provider will assess your vital signs and perform a physical examination. Depending on your symptoms and risk factors, you may undergo diagnostic tests like ECGs, echocardiograms, stress tests, blood tests, or more specialised cardiac assessments,” he adds. 6. Shortness of breath Struggling to catch your breath is not a trivial matter. “Anyone experiencing shortness of breath during everyday activities or at rest should see their doctor,” says Khan. This is especially the case if it’s accompanied by chest pain – even if it doesn’t seem especially severe. Khan adds: “Mild chest discomfort should always be investigated, but some people mistake this for indigestion or muscular pain.” 7. Unusual sweating “Feeling hot, clammy and quite sweaty when you haven’t been doing strenuous exercise shouldn’t be ignored,” adds Jodar. “If this is combined with chest pains, it’s important you get yourself looked at.” 8. Heart rate irregularities Does your pulse sometimes feel jumpy or too fast? Get it checked with your doctor. Khan says: “Smartwatches and fitness trackers can provide valuable data about your heart rate and may detect irregularities to some extent. They can help track general trends in heart rate, especially during physical activity or rest. “However, they are not a substitute for medical-grade monitoring and evaluation… Any concerning symptoms should be evaluated by a healthcare professional for a comprehensive assessment and diagnosis,” Khan adds. Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live Breast Cancer Awareness Month: 9 brilliant beauty buys supporting good causes Smokers 2.6 times more likely to give birth prematurely Female students ‘more than twice as likely’ to be affected by poor mental health, research shows

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Lewis Hamilton has claimed there were multiple drivers who should have been disqualified from last weekend’s United States Grand Prix for running an illegal car. Hamilton was stripped of his second place after the floor on his upgraded Mercedes failed a post-race scrutineering check. Ferrari’s Charles Leclerc, who finished sixth, was also kicked out of the classification for an identical breach. But Red Bull’s Max Verstappen, who claimed his 15th win of the season, and the McLaren of Lando Norris, elevated to second following Hamilton’s penalty, were both cleared of any wrongdoing. However, speaking ahead of this weekend’s race in Mexico City, Hamilton said: “I heard from several sources that there were a lot of other cars that were illegal and they were not tested so they got away with it. “I have been racing here for 16 years and there have been many other scenarios like this where some people have got away with it, and some have been unlucky and have been tested.” Hamilton said the sprint format in Austin – which allowed for just one hour of practice before parc ferme rules heavily constrict changes to the cars – coupled with the bumpy nature of the Circuit of the Americas were behind his disqualification. Limited FIA resources means the governing body checks only a handful of cars after a race, and the selections are based on oscillation data. But Hamilton continued: “There needs to be a better structure to make sure it is fair and even across the board. “We have never had that problem in Austin before, and is because we had a sprint race. An easy fix is that we should be able to change the floors. “The car should not be set from Friday morning especially at the bumpiest track on the calendar. “That is the only reason there were failures. And that reason wasn’t why we were as fast as we were. We hope we have another strong weekend here.” Hamilton finished just 2.2 seconds behind Verstappen in his most competitive race of the season – one he believed he could have won if Mercedes did not fluff their strategy lines. “I had just come out the press conference and I was about to get into the ice tub when (team principal) Toto (Wolff) came running down and told me,” added Hamilton. “It was devastating because it was such a great day and a great race. I was deflated, but there are lots of positives to take from it.” Read More Max Verstappen beefs up security in preparation for hostile reception in Mexico On this day in 2015: Lewis Hamilton crowned F1 world champion for third time Mercedes ‘need to take Lewis Hamilton’s disqualification on the chin’ Max Verstappen defies Lewis Hamilton to edge United States Grand Prix victory I can do something wiser with my time – George Russell stops using social media Charles Leclerc snatches pole position after Max Verstappen’s lap was deleted

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