HomeHealth & FitnessDiabetes and silent heart attack: Understanding the link

Diabetes and silent heart attack: Understanding the link

In view of sudden deaths Heart attack and cardiac arrestExperts call for raising awareness of heart health, especially for people with co-morbidities such as diabetes, This is because they may be more susceptible to silent heart attacks, experts explain. Diabetes is a condition that causes high blood sugar Caused by the body’s inability to produce insulin or use it well enough to control glucose levels. “People with diabetes may show symptoms such as increased thirst and urination, increased appetite, unexpected weight changes, persistent sores. numbness or tingling in the arms or legsFatigue, and even blurred vision,” said Dr Niranjan Nayak, consultant pathologist, Apollo Diagnostics.

What are silent heart attacks?

A silent heart attack is one that occurs without any symptoms, or with unrecognized symptoms. A person may not know they have had a heart attack until weeks or months after receiving a diagnosis, medical news today, In fact, according to American Heart Association (AHA), silent heart attacks account for approximately 1,70,000 of the estimated 8,05,000 annual heart attacks.

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What is it related to diabetes?

It is estimated that as high as 50 to 60 percent of diabetics develop heart disease, Dr. Ruchit Shah, Interventional Cardiologist, Masina Hospital, said, MumbaiHaving said that, diabetics with high blood sugar are more likely to develop blocks.

“Block means a slow blockage in the blood flow to the coronary arteries, cerebral arteries and kidneys. This complete continuation of diabetes leads to blockage of blood flow in the vessels of the whole body which is called ‘atherosclerotic heart disease’. These usually present together and include diabetes, high blood pressure, heart disease, stroke, kidney diseases, peripheral vascular disease and problems with the retina of the eye.

diabetes It is estimated that up to 50 to 60 percent of diabetics develop heart disease (Source: Getty Images/Thinkstock)

Agreed Dr Amit Bhushan Sharma, Director & Unit Head- Interventional Cardiology, Paras Hospital, Gurugram and said that over time, higher blood sugar level Can damage the blood vessels and nerves that control the heart. “High blood pressure increases the force of blood through the arteries and can damage artery walls,” explains Dr. Sharma. indianexpress.com,

Sharing that the typical time of presentation (abnormal symptoms of a heart attack) is usually at least five to 10 years after a patient’s diagnosis of type 2 diabetes, Dr Shah said: “Diabetes patients have nerve endings. As a result, diabetics who develop a heart attack may not present with typical symptoms of chest pain. Instead they experience fatigue, tiredness, breathlessness, May present with symptoms of lethargy, sweating, dizziness, loss of consciousness, job loss and back pain etc. Therefore, these are uncommon presentations of heart attack.”

heart health, heart failure, what causes heart failure, how to treat heart failure, heart attack, indian express news A silent heart attack can happen (Photo: Getty/Thinkstock)

According to research from the AHA, women with diabetes have a . increased risk of silent heart attack, But a 2021 study suggested that the incidence of silent heart attacks is “higher in men than in women”. The study found that women may be at higher risk of complications than men.

A 2013-case review of diabetes and silent ischemia or heart attack risk who eventually passed away, noted that silent myocardial infarction (SMI) is a common event and presents with increased frequency in patients with diabetes, possibly as a result of cardiac autonomic dysfunction. It was noted that physicians caring for patients with diabetes should be alert to the possibility of silent ischemia.

Because such attacks go unnoticed, they often go untreated. “So, most diabetics present late. As a result, their cases are more complicated,” said Dr Shah. “They have multiple block, multivessel disease and also have a low ejection fraction (low pumping function of the heart). This whole continuum of diabetics develop silent heart attacks with multiple blocks, and poor ejection fractions.” Prognosis causes poor long-term outcome.Most of these patients have multi-vessel angioplasty or open-heart bypass surgeryDr Shah said.

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