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Gender-specific warning signs of cardiac arrest are revealed in study: ‘New paradigm for prevention’

Half of those that endure cardiac arrest expertise a telling symptom 24 hours earlier than the incident, in keeping with a examine just lately printed in The Lancet Digital Health journal. 

This warning symptom was completely different in males and in girls, researchers from Smidt Heart Institute discovered; the institute is positioned in the Cedars Sinai Medical Center in Los Angeles. 

For girls, shortness of breath was the symptom that preceded an impending cardiac arrest, whereas for males, chest ache was the outstanding criticism.

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Sweating and seizure-like exercise occurred in smaller subgroups of each genders, the researchers famous.

Sudden cardiac arrest exterior the hospital has a 90% mortality fee, in keeping with a press launch from Cedars Sinai — so it’s important to acknowledge early warning signs.

Half of those that endure cardiac arrest expertise a telling symptom 24 hours earlier than the incident, in keeping with a examine just lately printed in The Lancet Digital Health journal.  (iStock)

“Harnessing warning symptoms to perform effective triage for those who need to make a 911 call could lead to early intervention and prevention of imminent death,” Sumeet Chugh, M.D., director of the Center for Cardiac Arrest Prevention in the Smidt Heart Institute, stated in the information launch. 

“Our findings could lead to a new paradigm for prevention of sudden cardiac death,” added Chugh, who’s the senior writer of the examine.

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To pinpoint how finest to foretell sudden cardiac arrest, Chugh’s analysis workforce gathered community-based information from the continued Prediction of Sudden Death in Multi-Ethnic Communities (PRESTO) examine in Ventura County, California, and the Oregon Sudden Unexpected Death examine (SUDS) in Portland, Oregon, the discharge said.

The investigators checked out particular person signs and units of signs that occurred previous to sudden cardiac arrest after which in contrast these findings to manage teams that additionally sought emergency medical care.

Woman short of breath

Shortness of breath was the telling symptom of an impending cardiac arrest for girls, in keeping with a brand new examine.  (iStock)

“It takes a village to do this work,” Chugh stated in the discharge. “We initiated the SUDS study 22 years ago and the PRESTO study eight years ago. These cohorts have provided invaluable lessons along the way.”

“Importantly, none of this work would have been possible without the partnership and support of first responders, medical examiners and the hospital systems that deliver care within these communities,” he added.

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The PRESTO examine confirmed that fifty% of the 823 people — all of whom had a sudden cardiac arrest witnessed by a bystander or emergency medication skilled — skilled at the least one telltale symptom earlier than their deadly incident. 

The SUDS examine confirmed related outcomes.

Man chest pain

Chest ache was the outstanding criticism in males earlier than impending cardiac arrest. (iStock)

“This is the first community-based study to evaluate the association of warning symptoms — or sets of symptoms — with imminent sudden cardiac arrest using a comparison group with EMS-documented symptoms recorded as part of routine emergency care,” Eduardo Marbán, M.D., PhD, government director of the Smidt Heart Institute, stated in the discharge.

“Early intervention can make a significant difference in outcomes.”

These findings pave the best way for additional analysis research to assist higher predict imminent sudden cardiac arrest, the investigators stated.

“Next, we will supplement these key sex-specific warning symptoms with additional features — such as clinical profiles and biometric measures — for improved prediction of sudden cardiac arrest,” Chugh stated.

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One heart specialist who was not concerned with the examine agreed that this new analysis highlights findings that may contribute to early detection and prevention of sudden cardiac arrest.

“Identifying specific symptoms that precede such a critical event, and particularly noting the sex-specific differences in these symptoms, has important implications for public health,” Dr. Allen Jeremias, M.D., affiliate director of the Cardiac Catheterization Laboratory on the St. Francis Hospital & Heart Center on Long Island, New York, instructed Fox News Digital. 

Heart attack

“Heart attack or cardiac arrest symptoms are not always the stereotypical chest pain that is commonly associated with men,” a heart specialist instructed Fox News Digital. (iStock)

“If these findings can be translated into clinical practice, they could lead to improved patient outcomes by allowing timely interventions and medical attention.”

The examine’s findings relating to sex-specific variations in coronary heart signs are essential for each well being care professionals and sufferers, Jeremias additionally famous.

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“[The study] highlights that heart-related symptoms might manifest differently in men and women, which can influence how patients and medical practitioners perceive and respond to these symptoms,” the physician stated. 

“Managing risk factors is crucial for heart health and prevention.”

“It’s important to educate patients about these differences, emphasizing that heart attack or cardiac arrest symptoms are not always the stereotypical chest pain that is commonly associated with men,” Jeremias continued.

Heart ultrasound

“It is important to seek medical attention promptly if any symptoms are experienced, regardless of whether they match the stereotypical heart attack symptoms,” the heart specialist stated. (iStock)

The heart specialist additionally stated it can be crucial that sufferers, irrespective of gender, are conscious of a broad vary of potential pink flags, and that they need to search medical consideration in the event that they expertise any uncommon or persistent signs. 

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Beyond understanding signs, Jeremias famous that sufferers ought to be knowledgeable in regards to the danger components for coronary heart illness, akin to household historical past, smoking, hypertension, excessive ldl cholesterol, weight problems and a sedentary life-style.

“Managing these risk factors is crucial for heart health and prevention,” he stated.

Image of heart

“Our findings could lead to a new paradigm for prevention of sudden cardiac death,” famous the senior writer of the examine. (iStock)

As every affected person is exclusive, not all people will expertise the identical signs — and a few will not be typical, Jeremias identified.

Health care suppliers ought to take a complete strategy when evaluating sufferers, contemplating their medical historical past, danger components and particular person signs, the heart specialist stated.

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“It is important to seek medical attention promptly if any symptoms are experienced, regardless of whether they match the stereotypical heart attack symptoms,” added Jeremias.  

“Early intervention can make a significant difference in outcomes.”



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