Silent heart attack


What is a silent heart attack. An acute myocardial infarct where the patient feels no pain whatsoever. Diabetics are very prone to this. Particularly poorly controlled diabetics. If the average sugar is consistently above 10 mmol/l then the nerves to the various organs actually stop working. Which means in essence you don’t feel pain like you should.

The problem with not feeling the pain is that you don’t realise what is happening. So generally the patient presents later. Sometimes with confusion (acute), sometimes with electrolyte disturbances or unfortunately death.

Control of sugar is key.

A1c – three month average of the glucose must be performed in diabetics at least every 6 months and attended to if too high.

Controlled sugars prevent heart attacks. Controlled blood pressure prevents them too 😉

Advertisements

Tagged:

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s

%d bloggers like this: