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What lies beneath

The absence of chest pain doesn't mean there's no underlying heart problem. About one-third of heart attacks are silent

Published Fri, Feb 21, 2014 · 10:00 PM
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BOTH men had silent heart artery disease but only one escaped the clutches of death. Mr A , head of a public-listed company, was in his 60s, was careful with his diet and exercised regularly. His doctors had not mentioned the presence of heart artery disease and hence, he never had a scan of his heart arteries.

On that fateful day, he had just finished his daily routine but somehow felt more tired than usual. He went to bed and never woke up. The autopsy confirmed significant heart artery disease as the cause of his sudden death.

A different fate

Mr B was in his late 40s and had undergone a treadmill test the previous year which was reported as normal. He had no chest pain but his bad cholesterol level was highly elevated. His doctor had advised him to do vigorous exercise in the mistaken notion that exercise will burn off the bad cholesterol. The reality is that research st…

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