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Heart Attacks: Western vs. Eastern Cultures

Western Cultures (eg UK, US, Europe)

 

Attitude

 

Heart Attacks:

✔ Seen as a medical emergency with clear symptoms: crushing chest pain, left arm pain.

✔ People are quick to seek help.

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Panic Attacks:

✔ Described emotionally - fear of losing control, derealization, catastrophic thoughts.

✔ Open to therapy—mental health stigma is lower.

Eastern Culture (eg Japan, China)

 

Attitude

 

Heart Attacks:

✔ Symptoms often described as stomach pain or discomfort due to modesty and stigma.

✔ Less urgency in seeking help to avoid causing alarm or burdening others.

 

Panic Attacks:

​✔ Described with physical symptoms: dizziness, numbness, tightness - avoiding emotional terms due to stigma. 

✔ Often interpreted as somatic issues (like “heart wind” in China). 

✔ Often linked to social anxiety: fear of embarrassing or offending others (like taijin kyofusho in Japan).

 

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