Is there any sort of symptom tip-offs in the days before a heart attack that kind of lets people know something's going on or maybe we just kind of miss?
Yes, they've, it is very interesting because we do hear it from our patients that they have a heart attack, one of the things that we hear sometimes from our patients who are a smoker, is that they stop smoking about a week or two before their heart attack because they felt something's not right.
So, the answer to that question is yes. Sometimes those are what are those signs and symptoms generally shortness of breath, chest pain that does not last as long, feeling tired and most of the symptoms happen at the time that people are active because when you are active when you're doing something, the heart needs more blood and if there is a blockage in the heart artery, it presents itself at the time. So, when you're physically active doing things that you used to do now you feel tired, you're feeling short of breath, or possibly feeling chest pain or pressure.
It's not always a pain. A lot of people say, don't have pain, I have pressure. We use that interchangeably but feeling something's not right, especially when you're physically active, can be a sign that there is an issue and it needs to be checked.
So, it's can there are different presentations. Everybody's different. We do see most commonly in people who are smoking on sometimes in people who have diabetes that they do not have any chest pain. They do not have any chest pressure only symptom they have is shortness of breath at the time even before a heart attack and even with a heart attack, sometimes it presents they're just short of breath, they don't know what's going on and it's because of an issue. So, those are the things that you need to kind of think about if you're used to doing something and you're now doing that same activity, you feel things are not right, you know, those can be a warning sign and you need to pay attention to that.