Health condition: chronic fatigue can be a warning sign of a heart attack in women, the study said

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In a study in women with a heart attack, symptoms such as unexplained fatigue or sleep problems were felt about one month before the heart attack, suggesting that the function of these advanced symptoms may prevent future heart attacks. The study, one of the first comprehensive studies of issues that could help prevent impending heart attack in women, was published in the Circulation: Journal of the American Heart Association.

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Jean C. McSweeney, Ph.D., RN, lead author. and a professor at the College of Nursing at the University of Arkansas for Medical Science in Little Rock said because women report having early warning symptoms more than a month before a heart attack, it's time to treat those symptoms and possibly slow or prevent a heart attack.

The researchers admitted 515 women diagnosed with a heart attack and were discharged from five different medical locations in Arkansas, North Carolina, and Ohio in the last four to six months. The women were an average of 66 years old, and 93 percent were white, 6.2 percent were black, and 0.4 percent were Native American. Data collection took place over a period of three years.

To determine symptoms that might indicate a possible heart attack, the researchers used the McSweeney Acute and Precursive Myocardial Infarction Symptom Survey (MAPMIS), a telephone search tool developed by McSweeney and his colleagues. The study identified 33 early or prodromal symptoms and 37 severe symptoms identified by women in a previous study. Researchers have described signs that are new or different from the exertion or rate before a heart attack, occur before a heart attack, and disappear or return to an earlier stage after a heart attack. Severe symptoms mean there is a heart attack and it is not treated until the woman sees a doctor.

The survey also includes questions about other health issues, priorities, medications, and the general public. About 95% of women have new or abnormal symptoms after a heart attack and at least one month before the heart attack. This leads me to believe that, in retrospect, the symptoms are linked to the next heart attack. The most common early symptoms are: abnormal fatigue - 70%; sleep - 48%; breathing - 42%; Indigestion - 39%, stress - 35%.

Only 30 percent reported breast augmentation due to heart attack. They describe discomforts such as pain, tension, and pressure-no pain, McSweeney said.

"Women should be instructed that the onset of new symptoms may be related to heart disease and that they should seek medical attention to determine the cause of the symptoms, especially if they are known to have cardiovascular risks such as smoking, high blood pressure, high blood pressure. blood pressure. "A family history of cholesterol, diabetes, obesity or heart disease," she said.

Earlier research by McSweeney and colleagues found that women who later recognized many of the symptoms that occurred before the heart attack ignored the symptoms or were misdiagnosed when they sought medical attention.

McSweeney emphasizes the importance of healthcare providers being aware of the symptoms that women experience. Although these early symptoms may not be specific in predicting a threatening heart attack, "the manifestation of these symptoms in combination with cardiovascular risk factors in women may be useful in treating women.

Little is known about the serious warning signs experienced by women with a heart attack, she said. But it is clear that women's experiences are different from the symptoms they expect.

In this study, the researchers found that 43 percent of women did not report breastfeeding comfort during a heart attack. For the artist, the most important places are the back and the height of the chest.

"Lack of severe chest pain may be the main reason why women have more undiagnosed heart attacks than men or are misdiagnosed and fired from emergency departments," McSweeney said. "Many clients still consider chest pain to be the primary symptom of a heart attack."

Other acute symptoms reported by women include: dyspnoea - 58 percent; forests - 55 percent; extreme fatigue - 43 percent; cold sweat - 39 percent and dizziness - 39 percent.

The researchers noted that the research problem was mainly Caucasian. "We do not know whether an early warning of women and/or acute symptoms may vary according to their diversity, but we will address this issue in our ongoing study of minority women," explains McSweeney.

In addition, there was no control group of women without a diagnosis of heart disease, so it is not known how many of these women may experience similar initial symptoms. Further research is needed to address these issues.

Article source: American Heart Association. "Unusual Fatigue May Be Warning Symptom Of Heart Attack In Women." ScienceDaily. ScienceDaily, 4 November 2003.

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