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 😉