Have you already had a heart attack?

By | April 16, 2009, 9:16am PDT

Summary: At Duke, Han Kim hooked up 185 patients with ongoing coronary disease but no history of heart attacks to a Delayed Enhancement Cardiovascular Magnetic Resonance (DE-CMR) device and found a third had already had heart attacks.

Could be.

So-called “silent” heart attacks, where victims may think they’re having some other kind of pain, turn out to be fairly common, according to a recent study at Duke.

The results are going into the Public Library of Science medical journal, PLoS Medicine.

My dad’s first heart attack was of this type. I was with him. He thought it was an ulcer. He drove to a store for a quart of milk and downed it in the car. He found out about the heart attack months later, during a routine check-up.

This was common. One of my favorite lines from the first season of “Mad Men” is where agency head Roger Sterling (as played by John Slattery, from AMCTV) lies in a hospital bed, amazed at his heart attack. “I thought it would be the ulcer that got me. I did what they told me. I ate the butter and drank the cream.”

It’s funny because it’s true.

At Duke, Han Kim hooked up 185 patients with ongoing coronary disease but no history of heart attacks to a Delayed Enhancement Cardiovascular Magnetic Resonance (DE-CMR) device and found a third had already had heart attacks.

Why the discrepency? My dad’s first heart attack created what’s called a Q-wave on a standard EKG. The DE-CMR unit found heart damage from heart attacks which did not create a Q-wave on an EKG.

Those who have had such attacks have big trouble. Kim found them 17 times more likely to die from heart disease. Trouble is, what do you do with that knowledge?

That will be the subject of his next grant request to the National Institutes of Health, which funded this study.

I’ll be watching for that with the excitement normally reserved for a good TV show.

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Disclosure

Dana Blankenhorn

Dana Blankenhorn has been a journalist, writer and part-time futurist for over 30 years. At the present moment I run only a personal blog in addition to my ZDNet open source blog. DanaBlankenhorn.Com has the subtitle The War Against Oil. In the past I have used it to write about political history, e-commerce, personal matters, some ideas related to open source, and The World of Always On, which is the idea of using sensors, motes and RFID to turn WiFi links into platforms for applications which live in the air. My IRA account at Schwab holds a few tech shares, most notably some Intel and Applied Materials, but there are no open source companies in it. I don’t even own any CBS stock.

Biography

Dana Blankenhorn

Dana Blankenhorn has been a business journalist since 1978, and has covered technology since 1982. He launched the Interactive Age Daily, the first daily coverage of the Internet to launch with a magazine, in September 1994.

Talkback Most Recent of 2 Talkback(s)

  • Have you already had a heart attack?
    Not yet and I'm trying to prevent having one although my family doesn't have a history of them. Its the daily diet of burgers and fries in my earlier years that will get the best of me.

    This almost sounds like a better EKG machine. The problem is going to be convincing doctors that it might be a silent heart attack instead of an ulcer or heartburn.
    ZDNet Gravatar
    Loverock Davidson
    16th Apr 2009
  • Cost is a question
    I should check to see how much these machines
    cost. They can apparently detect heart damage
    that old-fashioned EKGs don't detect.

    I think if you cut back on the burger and fries,
    without necessarily eliminating them, and maybe
    walk to the place where you buy them, you'll be
    around to harass me for years to come...
    ZDNet Gravatar
    DanaBlankenhorn
    16th Apr 2009

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