Silent Heart Attack

October 2, 2008

Crushing chest pain isn’t part of all heart attacks. Some are much more subtle. One in four people who have had a heart attack say they didn’t have any symptoms. Even so these silent attacks can damage your heart. Among those who face the greatest chance of a silent heart attack are people who have diabetes.

The subtle symptoms of a silent heart attack may include: discomfort in parts of the upper body such as in one or both arms, the back, neck, jaw or stomach, shortness of breath, a cold sweat and feeling light headed. People who do not notice chest discomfort may not have intense pain. Instead, they may feel an uncomfortable pressure, squeezing or fullness. Or the pain may go away and come back.

If you think you might be having a heart attack, call 911 right away for an evaluation and treatment. People who have a silent heart attack usually learn about it later during a routine test. If your doctor suspects you’ve had a silent heart attack, test can confirm the diagnosis.

Treatment to lower your risk of another heart attack often begins with lifestyles changes that include a healthy diet, exercise, physical examination etc. Your doctor will work with you to control conditions such as high blood pressure, cholesterol and diabetes. Medications that improve blood flow to the heart and reduce the heart’s workload also may be needed.

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