Also referred to as silent heart attack or silent myocardial infarction (SMI), silent ischemia is called so because its symptoms are often not felt at all. Sometimes, the symptoms may not be as intense as a heart attack. This type of heart attack accounts for 45% of the total incidents of heart attacks. And it is more common in men than in women.
According to Dr. Jorge Plutzky, Director of the program studying the preventive measures of vascular disease at Harvard-affiliated Brigham and Women’s Hospital, “SMI symptoms can feel so mild, and be so brief, they often get confused for regular discomfort or another less serious problem, and thus men ignore them”.
For example, people may feel certain mild symptoms like dizziness or tiredness. They often attribute these symptoms to minor health conditions like indigestion, fever, gastroesophageal disorder (GERD) and associated heartburn. The almost non-existent symptoms of silent ischemia can also be misinterpreted as a lack of sufficient sleep and/or over-exertion at work.
At times, silent angina or chest pain or discomfort may occur in the central area, not on the left side – where the heart is located. As Dr. Plutzky enlightens us, “poople can even feel completely normal during an SMI and afterward too, which further adds to the chance of missing the warning signs.”
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