At the first signs of a heart attack, call for emergency treatment (911). I am certainly glad I listened! I have arthritis and fibromyalgia in my neck, and I also have issues with my teeth, so when my neck and jaw started to bother me I wasn't too concerned. If an artery is occluded (blocked) there is no blood supply to that region. People who delay tend to be older, female, African-American and to have a history of angina, high blood pressure or diabetes. Acute myocardial infarction is myocardial necrosis resulting from acute obstruction of a coronary artery. An inferior, not interior, infarction is a subclassification of a heart attack. How someone with a profile like this could have heart attack symptoms and need major surgery is incredible. To determine if location and type of myocardial infarction provide prognostic information in patients with postinfarction ischemia, we analyzed morbidity and mortality during and after coronary angioplasty according to the location (anterior vs inferior) and type (Q-wave vs non-Q-wave) of myocardial infarction … Nausea, vomiting, and abdominal pain can be experienced and the patient may feel dizzy or disoriented. Upon my arrival they did an EKG, the nurse left the room and returned with a defibrillator and I knew 100 percent this was a heart attack. Those who have more vague or less typical "heart" symptoms have reported the following: In a multi-center study of 515 women who had an acute myocardial infarction (MI), the most frequently reported symptoms were unusual fatigue, sleep disturbances, shortness of breath, indigestion and anxiety. If chest discomfort or pain is not improved or getting worse 5 min after one dose, call 9-1-1 immediately to get emergency help before taking additional NTG. Smoking can also be a risk factor. Over time, the inside of the arteries develop plaques of different sizes. I recently read a story about a cardiologist that was also a marathon runner that needed quadruple bypass surgery. Usually, an inferior myocardial infarction is associated with the loosening of an atherosclerotic plaque in the wall of the right coronary artery. Ask your doctor. Be sure to ask about aspirin and nitroglycerin. The plaque detaches from the wall of the artery, effectively blocking it. @Icecream17 - I think that many doctors don’t diagnose heart attack symptoms in women because many of these women are younger, and the stereotype of a heart attack victim is a man in his fifties or sixties, not a young women in her thirties or even forties with no family history of the disease. Get a physical exam that includes screening for heart disease risk factors. In fact, there was a lady on a television show that had a heart attack and if she had not insisted on getting her heart examined she may not have been alive today. We do not endorse non-Cleveland Clinic products or services. The plaque detaches from the wall of the artery, effectively blocking it. It is important to be aware that myocardial infarctions, also known as heart attacks, do not always cause chest pain, especially in women. Fatigue 6. CORONAVIRUS: DELAYS FOR ROUTINE SURGERIES, VISITOR RESTRICTIONS + COVID-19 TESTING. Do not wait for your symptoms to "go away." Wait 5 minutes. While these ECG results COULD truly signify an old [previous] myocardial infarction, i.e., heart attack/MI, this result also could be seen in normal hearts. Shortness of breath when you are physically active 5. Acute Coronary Syndrome is a name given to three types of coronary artery disease that are associated with sudden rupture of plaque inside the coronary artery: unstable angina, Non-ST segment elevation myocardial infarction or heart attack (NSTEMI), or ST segment elevation myocardial infarction or heart attack (STEMI). spends her free time reading, cooking, and exploring the great outdoors. As the flow of blood slows, the oxygen-hungry heart muscles begin to die, often causing sudden pain. We do not endorse non-Cleveland Clinic products or services. This condition is acute, onsetting very rapidly when the blood supply is interrupted. Lightheadedness, may be accompanied by fainting 4. While the classic symptoms of a heart attack are chest pain and shortness of breath, the symptoms can be quite varied. 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