Persistent changes in your legs may signal more than muscle strain or ageing joints. Research shows that certain leg symptoms can indicate underlying arterial disease, which is strongly linked to heart attack risk . A followed over 14,000 patients with Peripheral Artery Disease (PAD) and found that individuals with leg artery narrowing experienced significantly higher rates of heart attack over 30 months compared with those without PAD. This suggests that leg symptoms serve as an early warning sign for cardiovascular problems, highlighting the importance of timely evaluation.



Why leg symptoms matter for heart health
When arteries in the legs become narrowed or blocked, the same atherosclerotic process often affects the coronary arteries that supply the heart. Leg symptoms can appear first as pain, heaviness, cramping or weakness in the calf or thigh when walking, a condition called intermittent claudication. According to , PAD is often underdiagnosed but carries a cardiovascular risk comparable to people who have already had a heart attack.

Leg pain , numbness, or slow-healing sores should prompt evaluation rather than being dismissed. These symptoms are visible indicators of a broader vascular problem.



Common leg-based warning signs to watch

• Aching, cramping or heaviness in the calf, thigh or buttock when walking, which eases with rest.
• Cold, numb or bluish feet or toes compared with the other leg.
• Slow-healing sores or ulcers, thinning or shiny skin, or hair loss on the legs.
• Weak or absent pulses in the feet or ankles.
• Swelling of the lower legs or ankles, particularly with other risk factors such as smoking, diabetes or high blood pressure.

The science connecting leg pain to heart attack risk
Reduced blood flow to the legs due to narrowed arteries reflects systemic arterial disease. This same process often affects the heart, increasing the risk of a heart attack. Studies show that people with PAD can experience both classic heart attacks and type 2 events caused by an oxygen supply and demand mismatch.

Leg symptoms act as a warning signal. Paying attention to them can prompt earlier medical evaluation and preventative strategies before more serious cardiovascular events occur.



What to do if you notice these signs in your legs

• Do not ignore persistent or unexplained leg pain, colour changes, or slow-healing sores.
• Ask your doctor about tests such as the ankle-brachial index (ABI), which compares blood pressure in your ankle and arm to assess leg-artery health.
• Manage risk factors by quitting smoking, exercising regularly and maintaining a balanced diet rich in whole grains, vegetables and fruit.
• Control blood pressure, cholesterol and blood sugar levels if you are diabetic.

Discuss with your doctor whether medications such as statins or antiplatelet therapy are appropriate.



Changes in your legs, including pain, numbness, colour shifts or persistent wounds, may indicate hidden arterial disease and an increased risk of heart attack. Treat these signs as early warnings and seek medical advice promptly. Your legs can provide valuable insight into your cardiovascular health and acting early could save your life.



Disclaimer: This article is for general informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider regarding any medical condition or lifestyle change.



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