Cardiologist Kokin named diabetes as one of the reasons for an asymptomatic heart attack.
Cardiologist, PhD in Medicine Evgeny Kokin explained why a myocardial infarction can develop asymptomatically.
According to the doctor, the absence of pain during a heart attack may be related to both nerve damage and metabolic and perception characteristics. However, he identified type 2 diabetes as one of the main reasons. "Asymptomatic heart attacks are more common in people over 65 with diabetes. The fact is that with the prolonged course of this disease, the nerve endings of the heart are affected, which reduces or completely blocks pain sensitivity," the cardiologist explained.
Additional risk factors for a 'silent' heart attack include age-related decline in central nervous system function and chronic kidney disease. The absence of heart attack symptoms may also be due to a prior stroke, chronic stress, depression, or opioid use.
At the same time, Kokin noted that a 'silent' heart attack may be accompanied by nonspecific signs such as fatigue, shortness of breath with minimal exertion, sleep disturbances, mild nausea, or dizziness. However, many people ignore these symptoms as they perceive them as a result of stress or age-related changes.
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