Silent STEMI
INTODUCTION: Heart attack is generally related to chest pain, which is indeed the most common symptom for AMI, but as this paper will also show, there is a certain number of AIM cases characterized by different kinds of symptoms, namely without any pain at all. AIM of this paper is to point out the...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Serbian Medical Society, Department of Emergency Medicine, Belgrade
2014-01-01
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| Series: | ABC: časopis urgentne medicine |
| Subjects: | |
| Online Access: | https://scindeks-clanci.ceon.rs/data/pdf/1451-1053/2014/1451-10531403050S.pdf |
| Summary: | INTODUCTION: Heart attack is generally related to chest pain, which is indeed the most common symptom for AMI, but as this paper will also show, there is a certain number of AIM cases characterized by different kinds of symptoms, namely without any pain at all. AIM of this paper is to point out the wide pallet of possible symptoms accompanying heart attack, discuss the physiology of the mentioned, present the frequency of these particular cases in the author's line of work and indicate the group of patients that are more likely to present with atypical symptoms. Within the paper two case reports are presented, considering patients with atypical symptoms, uncharacteristic EKG recording, different treatment and outcome, which could not have been diagnosed as AIM at the time of fist contact. MATERIALS AND METHODS: In this paper documents from the emergency service interventions through the year of 2013 were used, reviewed and then graphically presented. Two case reports are presented also, using documents from General Hospital of Subotica. RESULTS: show that the majority of diagnosed AIM patients reported chest pain, shortness of breath, nausea, sweating, collapses or the cardiac arrest itself was the first symptom. The incidence of these symptoms in our research looks like this: - Chest pain 61.03% - Shortness of breath 9,09% - Syncopa and cardiac arrest 7,79 % - Other pain 3,89 % - Nausea, sweating 18,18 % - Without chest pain 11,68 % Patients without pain were mainly older population with comorbidity. CONCLUSION: Painless AIM is not so rare. Fact that patients fail to realize that other mentioned symptoms are actually related to heart problems, delays reaching for medical help. Consequently, chances for successful treatment are reduced due to patient's age and comorbidity, and lethal outcomes become more often. |
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| ISSN: | 1451-1053 2560-3922 |