Recognizing and acting on heart attack symptoms is linked with faster life-saving treatment, according to research presented at ESC Congress 2023.
Patients with a repeat heart attack were more likely to know the symptoms than first-time sufferers, but recognition was low in both groups. Most patients could identify chest pain but less than one-third knew the other symptoms." Heart attack symptoms can include chest pain, radiating pain to the arms, jaw and neck, dizziness, cold sweats, shortness of breath, feeling sick and loss of consciousness.
The study included 11,894 myocardial infarction patients, of whom 10,623 had a first-time event and 1,136 had a repeat event. Of the 1,136 patients with a repeat event, 118 were excluded due to missing data, failure to answer the survey about symptoms, or presentation with cardiac arrest, leaving 1,018 patients for the analyses. Overall, just over half of patients recognized the symptoms of myocardial infarction.
The researchers also compared time to treatment and outcomes between the two groups. Some 57.4% of patients who correctly identified the symptoms of myocardial infarction received treatment to open the arteries and restore blood flow within two hours, compared to just 47.2% of those who did not recognize the symptoms. Patients who recognized symptoms had a lower in-hospital mortality rate compared with those who could not identify the symptoms of a heart attack .
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