Most patients recognize chest pain as MI symptom, but less than one-third recognize cold sweating, shortness of breath, radiating pain<\/p>\n<\/h3>\n
By Elana Gotkine HealthDay Reporter<\/b><\/p>\n
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THURSDAY, Aug. 24, 2023 (HealthDay News) — Patients with recurrent myocardial infarction (MI) are more likely to recognize the symptoms but still miss many symptoms, according to a study presented at the European Society of Cardiology Congress 2023, held Aug. 25 to 28 in Amsterdam.<\/p>\n
Kyehwan Kim, M.D., Ph.D., of Gyeongsang National University Hospital in the Republic of Korea, and colleagues examined the association between self-recognition of ischemic symptoms and clinical characteristics and outcomes in a study involving patients with recurrent MI.<\/p>\n
The rate of recurrent MI was 9.7 percent in 11,894 MI patients. The researchers found that the rate of self-recognition was 14.4 and 52.0 percent in individuals with first and recurrent MI, respectively. A total of 1,018 patients with recurrent MI were included in analyses. A higher rate of self-recognition was seen for males compared with females (79.3 versus 69.0 percent). Associations were seen for younger patients, higher graduation levels, and living with a spouse with well-recognized symptoms. Chest pain, shortness of breath, cold sweating, and radiating pain were often recognized as MI symptoms (92.9, 32.1, 31.4, and 27.4 percent, respectively); only 1.3 percent of patients recognized stomachache. Cardiogenic shock and heart failure occurred more often in the unrecognized group. Low incidence of recognition was seen in association with a history of stroke and malignancy. A high recognition rate was seen for patients with dyslipidemia. The in-hospital mortality rate was higher for the unrecognized versus the recognized group (6.7 versus 1.5 percent). Independent predictors of in-hospital mortality included unrecognized MI symptoms and a presentation with cardiogenic shock.<\/p>\n
“The findings indicate that education is needed for the general public and heart attack survivors on the symptoms that should trigger calling an ambulance,” Kim said in a statement.<\/p>\n
Press Release<\/a><\/p>\n