Atypical myocardial infarction symptoms that are easily overlooked

By | April 17, 2019

On May 26, Mr. Gao, the class teacher of the high school (10) class in Shaoyuan City, Shaoguan City, died of a heart attack, only 44 years old. According to reports, since April, Gao’s body has various discomforts, such as stomach pain, back pain, and big and small leg pains. Because he is afraid of affecting the students’ test preparation mood, he has been working with the disease and has not gone to the hospital for examination. Good time to treat, died young.

According to Tan Ning, MD, from the Institute of Cardiovascular Diseases, Guangdong Provincial People’s Hospital, acute myocardial infarction is about 70% of the angina pectoris, and about 30% of the pain in other parts of the body, such as It is manifested as abdominal pain, toothache, etc., which are easily overlooked and miss the opportunity of treatment.

In the hot summer, if the heart itself has lesions, it is more likely to have insufficient blood supply, followed by angina pectoris. This pain is in the back of the sternum or in the anterior region. Because the pain is severe and lasts for a long time, it is easy to cause people. Vigilant.

Beware of atypical myocardial infarction

It is worth noting that not all myocardial infarctions behave as “angina pectoris”, which is not typical in about 30% of patients with myocardial infarction. This atypical acute myocardial infarction can have a variety of manifestations. Tan Ning said that some manifested as a sudden increase in difficulty breathing, especially in the elderly, such as dizziness, sudden loss of consciousness, convulsions and other symptoms. Some patients show upper abdominal pain, nausea and vomiting, and even abdominal tenderness and muscle tension. A few people also have toothaches, which are easily overlooked and easily missed and misdiagnosed by doctors.

Precursor of myocardial infarction

In fact, there are quite a few young and middle-aged people whose blood vessels have had problems, but the symptoms are not obvious or atypical, and they have not caused enough attention of patients. Go to the hospital in time to see a doctor. This kind of crowd is often like Gao teacher. There must have been some symptoms before, but the patient did not regard it as a precursor to sudden death.

Tan Ning said that many patients in the month before the acute myocardial infarction, there will be symptoms of chest tightness in the morning, will wake up during sleep, probably lasting 5-10 minutes. Others feel awkward when going uphill or riding a bicycle. These problems are usually caused by factors such as excessive stress, full meals, emotional excitement, persistent work, and overwork. There is a gradual process from chest pain to infarction. Therefore, in the event of chest pain or other parts of the pain, chest tightness and other discomfort, you should seek medical advice in time to be alert to the possibility of acute myocardial infarction.

However, not all symptoms of chest tightness are related to coronary heart disease. It is not that chest tightness or suffocation means myocardial infarction. For example, due to the constant thunderstorms, many people feel depressed and even chest tightness. Ms. Li has been feeling uncomfortable recently, always sweating, and it will be comfortable to grow out. Tan Ning said that these symptoms are related to emotions, especially among middle-aged women. Chest tightness like Ms. Li has a lot to do with emotions, and this kind of hernia is characterized by persistence, sometimes for hours or days, which is often not a coronary heart disease.

Therefore, the first thing to do is to find out what causes the chest tightness. Patients should go to the cardiovascular specialist for treatment and do the necessary investigation. (张华)

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