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Outcomes Worse When Calling for Help With Atypical MI Symptoms

Outcomes Worse When Calling for Help With Atypical MI Symptoms
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MI Survival Linked to Reported Symptoms | Physician s Weekly

May 10, 2021 Lower mortality seen among those who report chest pain A study by researchers in Denmark suggests that surviving myocardial infarction (MI) may be more dependent upon the initial symptom patients report when calling for help specifically chest pain than previously believed. The study actually an analysis of outcomes of calls made to a 911-like service and those made to a medical helpline (non-emergency) looked at 4,880 emergency and 3,456 non-emergency calls from patients with confirmed MI. “The most common symptom was chest pain (n=5,219) followed by breathing problems (n=556). Among patients with chest pain, 95% (3,337/3,508) of emergency calls and 76% (1,306/1,711) of non-emergency calls received emergency dispatch. Mortality was 5% (163/3508) and 3% (49/1711) for emergency/non-emergency calls, respectively,” wrote Amalie Lykkemark Møller, a PhD candidate at Nordsjællands Hospital, Hillerød, Denmark, and colleagues who reported their findings in the

Exhaustion linked with increased risk of heart attack in men

 E-Mail Men experiencing vital exhaustion are more likely to have a heart attack, according to research presented today at ESC Acute CardioVascular Care 2021, an online scientific congress of the European Society of Cardiology (ESC).1 The risk of a myocardial infarction linked with exhaustion was particularly pronounced in never married, divorced and widowed men. Vital exhaustion refers to excessive fatigue, feelings of demoralisation and increased irritability, said study author Dr. Dmitriy Panov of the Institute of Cytology and Genetics, Novosibirsk, Russian Federation. It is thought to be a response to intractable problems in people s lives, particularly when they are unable to adapt to prolonged exposure to psychological stressors.

Heart attack diagnosis missed in women more often than in men

 E-Mail Chest pain is misdiagnosed in women more frequently than in men, according to research presented today at ESC Acute CardioVascular Care 2021, an online scientific congress of the European Society of Cardiology (ESC).1 The study also found that women with chest pain were more likely than men to wait over 12 hours before seeking medical help. Our findings suggest a gender gap in the first evaluation of chest pain, with the likelihood of heart attack being underestimated in women, said study author Dr. Gemma Martinez-Nadal of the Hospital Clinic of Barcelona, Spain. The low suspicion of heart attack occurs in both women themselves and in physicians, leading to higher risks of late diagnosis and misdiagnosis.

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