Article: Chest Pain Absent as a Presenting Symptom in One-Third of Acute MIs.(heart attacks)

ANAHEIM, CALIF. -- One-third of all patients with confirmed acute MI lack chest pain as a presenting symptom, Dr. John G. Canto reported at the annual meeting of the American College of Cardiology.

This finding, based upon a new analysis of nearly 435,000 cases of acute MI in the second National Registry of MI (NRMI-2) database, suggests that the classic clinical presentation of acute MI needs to be redefined, said Dr. Canto of the University of Alabama, Birmingham.

The public--and most physicians, as well--are under the misimpression that chest pain is the hallmark symptom of MI. The mindset is, "No chest pain? Relax, probably no MI." But this turns out ...

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