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    Sweating Prompts Heart Attack Care

    Sweating May Be a Key Factor in Heart Attack Victims' Seeking of Treatment

    WebMD Health News
    Reviewed by Louise Chang, MD

    Nov. 15, 2005 (Dallas) - Sweating appears to be the symptom that prompts more people suffering a heart attack to get to the hospital, researchers have discovered.

    "Heart attack patients often deny symptoms, [thereby] delaying treatment, but those who sweat are more likely to seek treatment earlier," says Catherine Ryan, PhD, RN, project coordinator of medical-surgical nursing in the department of nursing at the University of Illinois at Chicago.

    Delays in seeking treatment remain a serious problem in heart attack victims' seeking of treatment that can seriously affect the outcome, she told those attending the American Heart Association.

    "The typical heart attack symptoms include chest pain, shoulder and arm pain, and neck and jaw discomfort."

    Symptoms Often Ignored

    But a study of 1,073 heart attack patients hospitalized for heart attack found that though many individuals ignored the usual symptoms of heart attack, if sweating occurred, patients were less likely to delay treatment.

    "Bells should ring off if a person suddenly starts sweating profusely," Ryan tells WebMD. "They shouldn't think they have the flu. If they don't have a fever, then they should start to think about something else."

    Chicago researchers studied how delays in seeking treatment may be related to 12 common symptoms in heart attack patients. After combining the symptoms in cluster groups, they found that five distinct symptom clusters emerged.

    Previous studies on treatment delay examined single symptoms, while this study examined symptom clusters.

    "All the symptoms were put in the same pot, like soup, but it tasted different," she says. "The symptoms just fell out into different groups."

    And while most individuals assume that chest pain signals a heart attack, a full 16% of patients had no indication of chest pain, delaying a necessary trip to the hospital, says Ryan.

    Patients with the shortest delays in seeking treatment had the most symptoms and were more likely to have chest and upper extremity pain, indigestion, nausea, shortness of breath, sweating, dizziness, weakness, and fatigue, she explains.

    And those with the longest delays -- an average of almost 23 hours -- had the fewest symptoms.

    Another group that delayed treatment an average of 21 hours had symptoms that were easily confused with gastrointestinal tract causes, she notes. This group was more likely to have symptoms such as chest and abdominal pain plus indigestion.

    Women are more likely to experience back pain, jaw pain, shortness of breath, and nausea, vomiting, and fatigue, she says.

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