Women (particularly young women) may in fact present without any chest pain at all, but rather with stomach pain, breathlessness, nausea and fatigue. (https://heart.bmj.com/content/102/14/1142) These symptoms are often referred to as 39;atypical39;, a designation to which the British Medical Journal took exception in a 2016 article, saying that the term 39;may lead to the under-appreciation of risk associated with this presentation39;.