Health
Shortness of breath can be a sign of a heart attack with the worst survival rate.Health news
London: According to one study, shortness of breath is a sign of a heart attack and may have a lower survival rate than those with the typical symptoms of chest pain. Researchers at Braga Hospital in Portugal found that only 76% of patients with heart attack with dyspnea or malaise as the main symptom survived at 1 year, compared to 94% of patients with chest pain as the main feature. I showed that.
“Patients with shortness of breath and malaise had a worse prognosis than those with chest pain. They were less likely to survive one year after a heart attack and were less likely to be hospitalized for heart problems during the 12 months. “” Said Dr. Paulo Medeiros of the hospital.
“Dyspnea and extreme fatigue were common symptoms of heart attack in women, the elderly, and patients with other symptoms such as high blood pressure, diabetes, kidney disease, and lung disease,” Medeiros added. ..
Chest pain is a characteristic symptom of myocardial infarction, but other complaints such as shortness of breath, pain in the upper abdomen or neck, or transient loss of consciousness (syncope) may be the reason for attending an emergency department.
This study focused on non-ST-segment elevation myocardial infarction (NSTEMI), a type of heart attack in which the arteries that supply blood to the heart are partially blocked.
The study included 4,726 patients aged 18 years and older who were admitted to NSTEMI between October 2010 and September 2019.
Patients were divided into three groups according to the main symptoms at the time of presentation. Chest pain was the most common symptom (4,313 patients; 91%), followed by dyspnea / malaise (332 patients; 7%) and syncope (81 patients; 2%). Syncope is a temporary loss of consciousness caused by a decrease in blood pressure.
Patients with dyspnea / malaise were significantly older than those in the other two groups, with an average age of 75 years, compared to 68 years in the chest pain group and 74 years in the fainting group.
Patients with dyspnea / malaise were more commonly women (42%) compared to those with chest pain (29% women) or syncope (37% women) as the main symptom.
Compared to the other two groups, patients with dyspnea / malaise as the main symptoms were also more likely to develop hypertension, diabetes, chronic kidney disease, and chronic obstructive pulmonary disease (COPD). ..
“This study emphasizes that the diagnosis of myocardial infarction should be considered even if the main complaint is not chest pain. Chest pain, compression, or radiating to one or both arms, neck or jaw. In addition to the typical symptoms of a heart attack of severity, people should seek urgent medical assistance if they experience a prolonged shortage of breath, “said Medeiros.
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