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Pain radiates most often to the left arm, but may also radiate to the lower jaw, neck, right arm, back, and upper abdomen. [28] [29] The pain most suggestive of an acute MI, with the highest likelihood ratio, is pain radiating to the right arm and shoulder. [30] [29] Similarly, chest pain similar to a previous heart attack is also suggestive. [31]
Hospital cases at new high as health chiefs raise fears that those with symptoms are failing to seek help
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Some people might have other symptoms along with chest discomfort that can signal a heart attack. In particular, women can have excessive sweating , vomiting or nausea, Blankstein says.
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]
Symptoms: Chest pain, shortness of breath [4] Complications: Heart failure, abnormal heart rhythms, heart attack, cardiogenic shock, cardiac arrest [5] Causes: Atherosclerosis of the arteries of the heart [6] Risk factors: High blood pressure, smoking, diabetes, lack of exercise, obesity, high blood cholesterol [6] [7] Diagnostic method
Some patients, especially elderly and diabetics, may present with what is known as a painless myocardial infarction or a "silent heart attack". A painless MI can present with all of the associated symptoms of a heart attack, including nausea, vomiting, anxiety, heaviness, or choking, but the classic chest pain described above is lacking. [9] [15]
Dr. Segal explains that pain or discomfort in areas such as the jaw, neck, back or arms is a sign of a “mini heart attack” that many people miss. “The pain might not always feel like chest ...