Stowers M, Short D
Br Heart J. 1970 Nov;32(6):833-8. doi: 10.1136/hrt.32.6.833.
One hundred and eighty patients in hospital with proven myocardial infarction were questioned during their recovery about any unusual symptoms they experienced during the two months before the diagnosis of infarction. One hundred and twenty-two (68%) admitted to such symptoms. Ninety-nine (55% of the total) said they had experienced either the onset or an intensification of attacks of pain in the chest. Twenty-three (13%) described other symptoms, particularly tiredness or breathlessness. Of the 122 patients with prodromal symptoms, only 36 consulted their doctors, and of these 14 received only reassurance. The fact that such a high proportion of patients experience prodromal symptoms gives ground for hope that myocardial infarction might be averted in many instances. To achieve this, doctors need to be better trained to recognize the early symptoms of coronary heart disease, and, above all, further research is urgently needed to establish an effective prophylactic regimen. Once these goals have been achieved, there will be a strong case for educating the public to recognize coronary symptoms.
对180名确诊为心肌梗死的住院患者在康复期间进行了询问，了解他们在心肌梗死诊断前两个月内所经历的任何异常症状。122名（68%）患者承认有此类症状。99名（占总数的55%）表示他们经历过胸痛发作或疼痛加剧。23名（13%）描述了其他症状，尤其是疲倦或呼吸急促。在122名有前驱症状的患者中，只有36名咨询了医生，其中14名仅得到了安慰。如此高比例的患者出现前驱症状这一事实，让人有理由希望在许多情况下可以避免心肌梗死。要做到这一点，医生需要接受更好的培训以识别冠心病的早期症状，最重要的是，迫切需要进一步研究以建立有效的预防方案。一旦实现这些目标，就很有必要对公众进行教育，使其能够识别冠心病症状。
