New York State Emergency Medical Technician (EMT) Practice Exam

What is a common sign of a silent heart attack?

1. Presence of sweating only

2. A vague sense of discomfort

3. Chest pain on exertion

4. Acute dyspnea with normal breathing

The correct answer is: A vague sense of discomfort

A vague sense of discomfort is a common sign of a silent heart attack. Silent heart attacks, often referred to as "silent ischemia," do not always present with the classic symptom of chest pain that is commonly associated with myocardial infarctions. Instead, individuals may experience subtle or atypical symptoms, such as a generalized feeling of unease, indigestion, or vague discomfort, particularly in the chest, arms, or jaw. This can make silent heart attacks difficult to detect, as they may not follow the typical presentation that healthcare providers are trained to recognize. Understanding this symptom is crucial for both patients and EMTs. It emphasizes the importance of being vigilant for non-specific signs in individuals at risk of heart disease, particularly since silent heart attacks often occur without the obvious distress that would typically prompt a call for emergency medical assistance. The other options describe symptoms that are less commonly associated with silent heart attacks, illustrating the importance of recognizing that not all heart-related issues present with clear or discernible signs.