EVERY SINGLE TIME I HAVE TAKEN A CPR CLASS I have had to be that person who points out that the training videos ALWAYS frame the “male” symptoms as the default universal heart attack experience, while the “female” symptoms are framed as though they’re a deviation from the norm, rather than the primary symptom set that cis women experience.
ALSO: I just showed this post to my roommate, who is an MD at a clinic that specializes in care for the LGBT community in the Baltimore area. I asked her whether hormones were responsible for the difference in the “male/female” symptom arrays. I asked how that would apply to her trans patients (which, she treats a LOT of trans patients). She said, basically, that the longer you’ve taken testosterone the more likely you are to get the intense chest pressure and the arm pain, versus the upper back pressure and shortness of breath.
Obviously I am not a doctor myself, consult your own health care provider, etc.