Silent myocardial infarctions (SMIs) present a significant challenge as they account for a staggering 45% of heart attacks, with a predilection for affecting men over women.Aptly named “silent,” these heart attacks deviate from the classic symptoms, lacking the intense manifestations commonly associated with a cardiac event. The mild and fleeting nature of SMI symptoms frequently leads individuals to dismiss them as regular discomfort or a less serious issue.
Fatigue, physical discomfort, and mild pain in the throat or chest are often wrongly attributed to factors such as overwork, poor sleep, or general age-related aches and pains. Men, in particular, may remain oblivious to having experienced an SMI until persistent symptoms such as fatigue, shortness of breath, or heartburn drive them to seek medical attention.
As a DM Cardiologist, I emphasize the critical role of early detection and intervention. In my clinical practice, I frequently encounter cases where delayed medical assistance has led to irreversible damage to the heart tissue. Diagnosis typically involves an electrocardiogram (EKG) or echocardiogram, along with a blood test for troponin T, crucial in confirming the presence of an SMI.
Once diagnosed, a tailored treatment strategy can be implemented, addressing main risk factors through dietary changes, regular exercise, and medication such as statins to prevent a second heart attack. The key lies in empowering individuals to recognize subtle symptoms and take proactive steps toward cardiovascular health.
Individuals are urged to seek immediate medical attention if they experience any of the following warning signs:
- Discomfort in the center of the chest lasting several minutes or recurring, characterized by pressure, squeezing, or pain.
- Discomfort in other upper-body areas, including one or both arms, the back, neck, jaw, or stomach.
- Shortness of breath before or during chest discomfort.
- Breaking out in a cold sweat, or experiencing feelings of nausea or lightheadedness.
By raising awareness and encouraging timely medical intervention, we can collectively work towards minimizing the impact of silent myocardial infarctions and preserving heart health for a longer and fuller life.
(Author: Dr Kamal Gupta, Principal Consultant, Cardiology at Fortis Escorts Hospital Faridabad)
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Rohit Malhotra is a medical expert and health journalist who offers evidence-based advice on fitness, nutrition, and mental well-being. His articles aim to help readers lead healthier lives.
