Would you recognise a gradual-onset heart attack? The Guardian, 22 September 2019

ladycatlover

Senior Member (Voting Rights)
We think of an attack as a ‘big bang’, but the symptoms can build over hours or days – and even doctors can misinterpret them

https://www.theguardian.com/society/2019/sep/22/would-you-recognise-a-gradual-onset-heart-attack

I meant to post this sooner, but as usual Life Happened! ;) Not ME/CFS related, other than we do seem to get peculiar new symptoms sometimes, so maybe we should be aware that even heart attacks can be misdiagnosed. Especially ones that aren't "text book" examples.

A recent US study published in the European Journal of Cardiovascular Nursing found that, while 57% of patients reported an “abrupt symptom onset”, the other 43% experienced “gradual symptom onset”.
 
We think of an attack as a ‘big bang’, but the symptoms can build over hours or days – and even doctors can misinterpret them

https://www.theguardian.com/society/2019/sep/22/would-you-recognise-a-gradual-onset-heart-attack

I meant to post this sooner, but as usual Life Happened! ;) Not ME/CFS related, other than we do seem to get peculiar new symptoms sometimes, so maybe we should be aware that even heart attacks can be misdiagnosed. Especially ones that aren't "text book" examples.
Thanks for highlighting this @ladycatlover and it’s probably even worse for women.
 
Imagine going to a&e as a woman, with a dx of ME/cfs & all those symptoms... Likely to be misdiagnosed? Likely? Id say it would border on the miraculous of you weren't, and you'd get eye rolls at minimum & a load of derision as standard too I imagine.
 
Imagine going to a&e as a woman, with a dx of ME/cfs & all those symptoms... Likely to be misdiagnosed? Likely? Id say it would border on the miraculous of you weren't, and you'd get eye rolls at minimum & a load of derision as standard too I imagine.

They're not all bad.

I was sent to A&E by an out of hours GP about 5 years ago with a suspected heart attack. They took it seriously and did all the proper testing. It wasn't a heart attack. I was kept in hospital overnight, as they wanted to check if it was a blood clot on the lung. It wasn't that either.

The consultant who gave me the good news agreed with me that I was probably just having a particularly bad day with my ME pain and asthma combining to give the symptoms I had. I'd actually called the doctor in the first place because I thought I had a chest infection causing the breathing problems and pain.

When I was a bit embarrassed about causing all that testing for nothing, the consultant was quite firm that I should always err on the side of caution and get it checked if I was having chest or left shoulder/arm pain. He didn't roll his eyes. He was kind and helpful.

It could have been quite a positive exprience if it hadn't been for the the ambulance people taking me to hospital nearly killing me with something that dropped my blood pressure so dangerously low I passed out and woke 5 minutes later with 2 very worried people about to shock my heart which had presumbly stopped (they'd cut my t-shirt open to bare my chest ready for it).

And the crash afterwards, of course.
 
They're not all bad.

I was sent to A&E by an out of hours GP about 5 years ago with a suspected heart attack. They took it seriously and did all the proper testing. It wasn't a heart attack. I was kept in hospital overnight, as they wanted to check if it was a blood clot on the lung. It wasn't that either.

The consultant who gave me the good news agreed with me that I was probably just having a particularly bad day with my ME pain and asthma combining to give the symptoms I had. I'd actually called the doctor in the first place because I thought I had a chest infection causing the breathing problems and pain.

When I was a bit embarrassed about causing all that testing for nothing, the consultant was quite firm that I should always err on the side of caution and get it checked if I was having chest or left shoulder/arm pain. He didn't roll his eyes. He was kind and helpful.

It could have been quite a positive exprience if it hadn't been for the the ambulance people taking me to hospital nearly killing me with something that dropped my blood pressure so dangerously low I passed out and woke 5 minutes later with 2 very worried people about to shock my heart which had presumbly stopped (they'd cut my t-shirt open to bare my chest ready for it).

And the crash afterwards, of course.

Crikey that must have been scary Trish! Especially what happened in the ambulance, but having asthma, breathing difficulties & pain, being sent there on GP instructions & having a major life threatening episode in the ambulance which would have been reported to the Drs, is much more likely to get one taken seriously. Thank goodness they were.

But I was talking about someone, especially a young woman, with no other dx than ME/CFS (ie nothing that the average doc would take seriously - like asthma), turning up to A&E of their own accord 'off the street', without any breathing difficulties or chest or left arm pain, but after having had pain in the collar bone & jaw & having been sick the wk before, & now who's arm felt numb (which is what the guy in the article reported) I think tingly fingers were also mentioned….

I'm pretty sure that scenario would be very likely to get a different response to the one you experienced.
I do acknowledge that there is the odd enlightened doc out there but, as the consultant said - "you should always get it checked if you have chest or left arm pain"... but the article's point is that heart attacks are often missed because they don't present in that way, & the doc only referring to those symptoms rather proves the article's point I think.

I often get pain in my collarbone, often get numbness & tingling fingers in my left arm, and fairly often am extremely sick. No doctor has ever even raised an eyebrow over any of it, they have however rolled their eyes & dismissed it as MUS/anxiety without bothering to run any tests at all.
It's obviously not a heart attack as it's been going on for many yrs! but they weren't to know that at the beginning.
 
Article about inequality between men and women (yet again!) at diagnosis, recovery or death from heart attack.

Women are dying from heart attacks unnecessarily because of the mistaken perception that they mostly happen to men, a leading charity says.

It begins with the perception of risk, says the BHF, which is launching a campaign to end the inequity. There is a general assumption in society that heart disease is more common in men than women. And even some doctors wrongly believe that the symptoms women experience during a heart attack are different from those of men.

https://www.theguardian.com/society...ng-needlessly-from-heart-attacks-says-charity
 
It’s hysteria, not a heart attack, GP app Babylon tells women
A virtual GP app praised by the health secretary has been accused of putting patients at risk after it emerged that entering identical heart attack symptoms for men and women resulted in different suggested diagnoses.

The Babylon app, which bears the NHS logo, uses artificial intelligence (AI) to identify health problems. But doctors found that the algorithm tells a 60-year-old female smoker who reports sudden onset chest pain and nausea that she is probably having a panic attack or pain caused by inflammation.

A 60-year-old male smoker with the same symptoms is told that he may be having a heart attack. The man is advised to go to A&E, while the woman is told to contact her GP within six hours if the symptoms persist.
https://www.thetimes.co.uk/article/its-hysteria-not-a-heart-attack-gp-app-tells-women-gm2vxbrqk
 
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