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Ischemic cardiomyopathy is a type of cardiomyopathy caused by a narrowing of the coronary arteries which supply blood to the heart. [4] Typically, patients with ischemic cardiomyopathy have a history of acute myocardial infarction, [5] however, it may occur in patients with coronary artery disease, but without a past history of acute myocardial infarction.
Women, diabetic individuals, and elderly individuals are more likely to present with atypical symptoms other than chest pain. [8] Women may present with back pain, shortness of breath, heartburn, nausea, and vomiting. [19] Heart disease in women goes undetected prior to a major cardiac event in up to 60% of cases. [19]
In stable angina, symptoms occur with exercise or emotional stress, last less than a few minutes, and improve with rest. [4] Shortness of breath may also occur and sometimes no symptoms are present. [4] In many cases, the first sign is a heart attack. [5] Other complications include heart failure or an abnormal heartbeat. [5]
The symptoms associated with MR are dependent on which phase of the disease process the individual is in. Individuals with acute MR are typically severely symptomatic and will have the signs and symptoms of acute decompensated congestive heart failure (i.e. shortness of breath, pulmonary edema, orthopnea, and paroxysmal nocturnal dyspnea). [6]
Levine's sign is a clenched fist held over the chest to describe ischemic chest pain. [1]It is named for Samuel A. Levine (1891–1966), an influential American cardiologist, who first observed that many patients with chest pain made this same sign to describe their symptoms.
Symptoms of the acute coronary syndromes are similar. [8] The cardinal symptom of critically decreased blood flow to the heart is chest pain, experienced as tightness, pressure, or burning. [9] Localization is most commonly around or over the chest and may radiate or be located to the arm, shoulder, neck, back, upper abdomen, or jaw. [9]
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