. >> three years ago marsha goodbalm felt nauseated and had stomach pains. she headed to the hospital >> i had no idea i was having a heart attack. i really expected shoulder pain or heavy chest pain. >> a new scientific statement from the american heart association says there can be key differences between men and women when it comes to heart attack symptoms. >> there is usually discomfort somewhere in the chest area and or in the neck, jaw, back, upper stomach. it can be in either arm or shoulder. >> this is the first time the association has put out a statement on heart attacks in women which highlights women often have different kinds of heart attacks. >> your blood pressure is too high today. >> risk factors are. >> high blood pressure is a strong risk factor for heart disease among women. >> marsha had the same symptoms a year ago and another heart attack. this time she didn't wait. have stomach pain or nausea don't hesitate. i hesitated. i'm glad i'm alive after that. >> she continues to manage her high cholesterol and high blood pressure with medicat