Symptoms and warning signs of myocardial infarction

Written by Chen Tian Hua
Cardiology
Updated on November 13, 2024
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Patients with myocardial infarction often have some precursor symptoms before the onset of a heart attack, including chest tightness, palpitations, irritability, fatigue, and episodes of angina, among which the angina episodes are most characteristic. This angina can manifest as the first occurrence of angina, or as a worsening of previously experienced angina symptoms. It is characterized by more intense chest pain, longer duration, and often occurs without clear triggers. Nitroglycerin taken sublingually does not fully relieve it. These symptoms should be taken seriously, and it is important to promptly visit the cardiology department of a hospital. Through inpatient treatment, the condition can be stabilized, and many patients can avoid an acute myocardial infarction.

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Written by Zhang Yue Mei
Cardiology
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What should be noted in daily life regarding myocardial infarction?

Myocardial infarction is a serious heart disease caused by coronary artery narrowing and blockage, leading to myocardial ischemia and hypoxia, and necrosis, particularly in cases of extensive myocardial infarction. If not effectively treated, it can lead to severe complications such as heart failure, cardiogenic shock, and arrhythmias. Therefore, it is essential to follow a doctor's guidance and use effective medications for emergency treatment. In daily life, it is important to maintain a pleasant mood, avoid irritability, consume easily digestible food, quit smoking and drinking, and primarily follow a low-fat, low-salt diet to keep the bowel movements regular. This helps prevent worsening of the condition due to improper diet and constipation, which can increase the cardiac burden.

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Written by Zhang Yue Mei
Cardiology
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The difference between myocardial infarction and myocardial infarction

Myocardial infarction and myocardial necrosis have no significant difference; both are caused by the blockage of coronary arteries leading to ischemic necrosis of the heart muscle. The mechanism of onset and the pathologic changes are the same. In the event of a myocardial infarction, immediate resuscitation treatment is necessary. Without timely treatment, the infarcted area may increase and complications can occur. Common complications include heart failure, arrhythmias, and cardiogenic shock, which can be severe enough to cause death. In the case of a myocardial infarction, it is essential to administer effective medications under the guidance of a doctor to reduce the infarcted area and minimize complications.

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Written by Chen Guang Yin
Cardiology
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Is myocardial infarction class II serious?

New York Heart Association (NYHA) Class II heart function is not severe. Myocardial infarction is a relatively serious type of coronary heart disease, which occurs due to the blockage of the coronary arteries leading to myocardial necrosis, and it carries certain risks. It can ultimately lead to complications such as sudden death and heart failure. At this stage, with Class II heart function, symptoms of heart failure can appear under conditions of significant exertion, including chest tightness, breathlessness, fatigue, and shortness of breath. These symptoms correspond to a relatively less severe stage of heart failure.

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Written by Xie Zhi Hong
Cardiology
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The causes of nausea and vomiting in myocardial infarction

During the acute phase of a myocardial infarction, symptoms such as nausea and vomiting often occur, particularly with acute inferior wall myocardial infarction. In the later stages of acute myocardial infarction, including anterior and lateral wall infarctions, patients may experience poor diet, issues with medication, or poor food intake, leading to electrolyte disturbances, which can also result in symptoms of nausea and vomiting. Therefore, nausea and vomiting during myocardial infarction are manifestations of gastrointestinal distress indirectly stimulated by the condition. Additionally, patients with acute right ventricular infarction may experience worsening right heart function, gastrointestinal tract water retention, and edema, which can also lead to nausea, vomiting, and decreased appetite.

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Written by Liu Ying
Cardiology
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Atypical symptoms of myocardial infarction

We say myocardial infarction is a serious heart disease. Common symptoms of myocardial infarction include chest pain. However, some patients with myocardial infarction do not present with chest pain but exhibit other atypical symptoms. For example, some patients present with severe chest tightness and shortness of breath, or acute left heart failure. Others may seek treatment for palpitations or slow heart rate and other arrhythmias. Some exhibit symptoms like toothache or upper abdominal pain, while others may experience dizziness. There are also patients who present with low blood pressure or even go into shock. Therefore, for these patients, it is crucial to perform timely tests like electrocardiograms and troponin levels, and have a specialist make a diagnosis to avoid delays in treatment.