Emphasizing Chest Pain as a Symptom of Heart Attack-Reply

Richard E. Kerber, MD; John Paraskos, MD; William Montgomery, MD
JAMA. 1993;270(20):2435-2436. doi:10.1001/jama.1993.03510200041024.
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In Reply.  —The AHA agrees completely with Dr Bahr's point that chest pain and chest discomfort are extremely important prodromal symptoms in a heart attack and the public needs to be aware of this. It is precisely for this reason we stated very clearly in the Guidelines, "The public, especially those at high risk and their families and friends, must be educated to recognize the usual signs of a heart attack and the need for prompt attention. They must be taught how to gain rapid access to the EMS system.... The community must take responsibility to ensure that calling this number initiates a rapid response.... Each person should have a well-formulated plan of action for use in an emergency, based on local community resources and the EMS system. When symptoms occur that suggest an MI, a mobile life support system should be summoned to reduce elapsed time from onset of


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