Q:
How are diabetics affected by heart disease? What about older adults?
A:
We consider diabetes an equivalent of heart disease. Diabetes is one of the worst factors, and about half of diabetics have heart disease. A lot of diabetics don’t feel the heart attack, because they often think the symptoms of nausea and sweating mean they’re having a diabetic episode. Older people have a lot fewer specific symptoms.
Q:
In your experience, what are the most important predictors of heart attack survival?
A:
It’s multifactorial, but there are better outcomes in hospitals that are equipped for heart attacks. One easy answer is how quickly you get to the hospital. Most of the deaths will occur in the first hour.
Interestingly, once you’re at the hospital, it matters if anyone or anything—even a cat or a dog—cares if you die. Your chances of dying increase if you think no one cares if you live.
Q:
I have heard that it is "better" to have a heart attack during the week. So what should I do if I have chest pain on Sunday?
A:
People who have heart attacks at work are more likely to go to the hospital than those who are at home. It’s not clear if people at work just don’t want you to die or if people at home are lazy and don’t want to drive to the hospital. When in doubt, go to the hospital.
Q:
If I think I am having a heart attack, should I call EMS or have a friend, spouse, or coworker drive me to the hospital?
A:
Call EMS. This is one reason you pay taxes—so that trained professionals can come and get you and take you to the hospital.
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