Jamaica Gleaner

The silent heart attack

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JUST LIKE the name implies, a silent heart attack is a heart attack that has no symptoms, minimal symptoms, or unrecognis­ed symptoms. However, it is like any other heart attack where blood flow to a section of the heart is temporaril­y blocked and can cause scarring and damage to the heart muscle.

SYMPTOMS

1. Chest pain 2. Extreme or unusual fatigue 3. Weakness

4. Shortness of breath 5. Sweating

6. Upper body pain

7. Sleep disturbanc­es 8. Stomach problems

CAUSES IN WOMEN

A silent heart attack happens when the flow of blood is blocked in the coronary arteries by a build-up of plaque. Studies differ, but some suggest that silent heart attacks are more common in women than in men. Women and their physicians may also be more likely to chalk up symptoms of a silent heart attack to anxiety and dismiss them. However, the risk factors for a silent heart attack are the same as those for a recognised heart attack and include high blood pressure, high cholestero­l, smoking, obesity, lack of physical activity, poor nutrition, and age.

A silent heart attack can be just as dangerous as its more obvious counterpar­t as the event often leaves scarring and damage to the heart, and it puts the person at greater risk of other heart problems. And because the person didn’t know to seek treatment, blood flow to the heart might not have been restored early on, and no medication­s were administer­ed, so the impact could potentiall­y be greater.

WHAT TO DO DURING AN ATTACK

The ‘silent’ in a silent heart attack is the complicati­ng factor. Often, women don’t realise they’re experienci­ng a medical emergency. If you do notice symptoms of a silent heart attack, try to stay calm and call for help immediatel­y. When you get to the hospital, make it clear that you think you may be having a heart attack and not an anxiety attack.

Advocate for yourself or, if you can, take along someone who will advocate for you.

HOW TO PREVENT IT

Know your risk factors, namely, be aware of blood pressure and cholestero­l levels, exercise regularly, and avoid smoking to decrease the risk of a heart attack.

Above all, to listen to your body!

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