Atypical symptoms of mi
Chest pain: how to distinguish between cardiac and
Since they lack the typical symptoms of a cardiac incident, such as intense chest pain or pressure; stabbing pain in the arm, throat, or jaw — or even shortness of breath, they are often referred to as “silent heart attacks.”
Silent heart attack victims often experience extreme or frequent fatigue, as well as general physical pain. Some people who have had silent heart attacks claim they mistook their symptoms for a disturbed stomach or a bad cold or body aches.
“During a silent heart attack, people frequently feel relatively normal or have some chest or general pain that isn’t severe enough to indicate that something is seriously wrong,” says Dean Heller, M.D., a cardiologist at Miami Cardiac & Vascular Institute.
A research published in the Journal of the American Medical Association in late 2015 tracked nearly 2,000 people aged 45 to 84 who were free of cardiovascular disease (half of whom were men). After ten years, 8% of the participants were found to have myocardial scars, which are basically signs of a heart attack. Surprisingly, 80 percent of those who had heart attacks were completely unaware of their situation. Researchers discovered that the incidence of myocardial scars was five times greater in men than in women.
12 lead ecg episode 8 – case study atypical stemi
In approximately 10-30 percent of myocardial infarction cases, the emergency physician (ep) can see atypical characteristics of acute myocardial infarction (AMI).
Assessment and care of patients with agina
1–6 Patient age, alternative chief symptoms, atypical pain, and some comorbid states all contribute to this diagnostic challenge.
When discomfort or another unpleasant feeling is the complaint associated with AMI, it may be unusual from a variety of angles. Pain in an unusual position can be experienced by the patient. Discomfort can be felt in areas of the body other than the chest (e.g., the epigastrium, anterior neck or jaw, or left upper extremity). Although these symptoms are not typical of an AMI, they normally do not pose a diagnostic problem for the EP; in the right patient, such pain distributions are indicative of a coronary ischemic source. In the unusual patient, the pain can be felt in the back, posterior neck, and right arm, indicating another cause for the uncomfortable sensation. Cephalgia, as well as hip and lower back pain, are other rare manifestations.
Atypical presentations in older patients – “things are not
The classic signs of a heart attack include chest, shoulder, or jaw pain, as well as a sensation of tightness, discomfort, aching, squeezing, or grasping. However, recent clinical recommendations and media reports indicate that we mostly associate such symptoms with male patients, assuming that female victims will present with more atypical symptoms such as epigastric pain, dyspepsia, or breathlessness.
International recommendations in 2019 note that women with myocardial infarction are more likely to present with atypical heart attack symptoms, according to Amy V. Ferry, BSc, and colleagues’ paper. However, the fourth universal concept of MI goes beyond symptom analysis and suggests that sex-specific troponin levels be used to correctly diagnose a heart attack.
Ferry, of the BHF Centre for Cardiovascular Science at the Royal Infirmary of Edinburgh, and co-authors wrote in JAHA, “Women with myocardial infarction are at risk of underdiagnosis and undertreatment if proper symptom presentations are not recognized.” “Our aim was to assess the frequency and predictive value of patient-reported symptoms in men and women with suspected acute coronary syndrome, as well as to see whether symptoms vary when myocardial infarction is diagnosed using sex-specific criteria.”
Acute coronary syndrome: unstable angina, nstemi and
At the time, my most crippling symptom was chest pain, which physicians refer to as angina pectoris (a Latin term that roughly translates to “strangulation of the chest”). It felt like a Mack truck was parked on my chest and a burning searing pain was going up through my throat in my situation. I was still sweating profusely and had pain radiating down my left arm, as if I was about to vomit. (By the way, none of those textbook signs convinced the emergency physician that I was having a heart attack.) This Heart and Stroke Foundation study has more information on misdiagnosis of women’s heart disease.
Atypical cardiac symptoms, which are more common in women, may also be identified. A heart attack may also cause a sensation of pain or discomfort to pass from the heart to the spinal cord, where several nerves converge into the same nerve pathway, as paramedic/heart women’s health researcher/documentary filmmaker Cristina d’Allessandro asks in the film “A Typical Heart.” Your arm, for example, may be perfectly fine, but your brain believes that part of your pain is coming from the arm (or the jaw, shoulder, elbow, neck, or upper back).