High-Risk·

Recognizing High-Risk Health Events

Learn how to identify and respond to high-risk health events, from cardiovascular disease to stroke, with a special focus on symptoms that may signal underlying issues.

Understanding and identifying high-risk health events can significantly affect outcomes, particularly concerning cardiovascular health, strokes, and cancer. In wellness visits, I typically discuss several critical conditions to help you recognize when to seek care and take proactive steps for your health.

Heart attacks

Cardiovascular disease is one of the leading causes of death and disability worldwide. Recognizing symptoms and acting promptly can prevent progression and improve outcomes. While many people imagine a heart attack as dramatic chest pain, the reality is often subtler. Symptoms can include pressure, heaviness, or discomfort in the chest that occurs with activity or emotional stress and resolves with rest. These symptoms can also appear in unexpected areas, such as the right side of the chest or near the shoulder blade.

Women, in particular, need to be aware of atypical symptoms, including nausea, fatigue, or discomfort that wakes them from sleep. These signs are often overlooked but can indicate true cardiac issues. If you experience persistent or unusual symptoms, it is better to investigate than to ignore them, as the potential consequences of untreated heart conditions are severe.

Regular physical activity can serve as a valuable gauge of your cardiovascular health. A decline in endurance, chest pain, dizziness, or shortness of breath during exercise could indicate underlying issues that warrant evaluation. Pay attention to these changes and seek prompt medical advice.

Atrial Fibrillation

Advancements in wearable technology, such as smartwatches and digital blood pressure cuffs, have made it easier to detect atrial fibrillation and other irregular heart rhythms. But all you need is to feel your pulse to know if you need to be evaluated further. Your pulse is typically an evenly spaced, predictable pattern. Atrial fibrillation is an erratic heart rhythm that increases the risk of blood clots, potentially leading to strokes or other complications. If you notice a consistently fast and irregular heartbeat, seek immediate care. Even if you feel fine, irregular rhythms require medical evaluation, as they often need intervention to reduce risks.

Stroke

A stroke is a medical emergency that requires immediate action. Key symptoms include sudden weakness or numbness on one side of the body, difficulty speaking or understanding, loss of vision, severe headache, or loss of balance. Every minute counts when addressing a stroke. Call 911 immediately if you notice these signs. Rapid transport to the hospital increases the likelihood of receiving treatments like clot-dissolving medications, which are time-sensitive and can significantly reduce the risk of long-term damage.

Cancer

Cancer detection relies on recognizing persistent, unexplained symptoms that do not resolve over two to three weeks. Common warning signs can include unusual pain, persistent acid reflux, or discomfort that initially seems minor but continues over time. While routine cancer screenings like mammograms, colonoscopies, and skin checks are vital, they do not catch every case. Pay attention to persistent changes in your health and consult your physician if you have concerns. Early detection and discussion can lead to appropriate testing and treatment, improving outcomes significantly. n b

Summary

Being vigilant about high-risk health events is essential for maintaining your well-being. Watch for persistent symptoms, monitor changes in your physical activity tolerance, and respond promptly to warning signs of conditions like atrial fibrillation, stroke, and cancer. While most symptoms may not indicate severe illness, addressing them proactively ensures better outcomes and peace of mind.

Stay healthy,

Michael Germain, MD