Система Orphus

Symptoms of disease - pain in acute myocardial infarction

Acute myocardial infarction is ischaemic necrosis (omertvlenie) of a section of the muscles of the left ventricle (less than other parts of the heart)caused by occlusion (thrombosis) coronary artery supplying blood of this site. Intracoronary a blood clot in people suffering from chronic ischemic heart disease, caused, as a rule, atherosclerotic processes, are not uncommon. From time to time, sclerotic blood clots and plaque can not make themselves felt. But when the course of coronary heart disease, when against the background of blood clots is a spasm of the heart vessels, it manifests itself with angina pectoris. Therefore, stenocardia, as already mentioned, often preceded by myocardial infarction. However, myocardial infarction, in some cases may develop in the absence of complete blockage of the coronary arteries.
Myocardial infarction in recent years "younger". It is not uncommon in persons of 30-40 years of age. The difficulties of modern life, malnutrition, abuse animal fats and sweets, a lot of negative emotions - the main causes of myocardial infarction.

Of the risk factors for coronary heart disease, and, therefore, myocardial infarction, are the most dangerous: a high level of cholesterol in the blood, a persistent increase in blood pressure, obesity, smoking, alcohol abuse, sedentary lifestyle, and numerous psycho-emotional overload.



Which diseases there is pain in acute myocardial infarction

Pain in acute myocardial infarction is characterized by the following features:

- Expressed the pain, the intensity of which depends on the extensiveness and depth of the defeat of the heart muscle. This pain is different from stenocardia not only greater duration and intensity, and the fact that the nitroglycerin no impact.
- The duration of the pain in acute myocardial infarction can be different - from 15 to 20 minutes to several hours.
- The nature of the pain: stubborn, wavy, fading after the introduction of the pain medication and soon again repeated. Most patients complain of dagger pain in retrosternal region, at least - in the region of the heart, and the left half of the thorax. The pain "gives up" on an internal surface of the left hand, producing a tingling sensations in his left hand, wrist and fingers. Other possible areas irradiate are trifling belt, neck, jaw, interscapular space, also predominantly on the left. Thus, localization, and irradiation of pain does not differ from the attack of angina pectoris. Painful emotions are often very pronounced: the sense of fear of death, anxiety, agitation, groans and cries. Face distorted with pain. The pain, as angina, patients are described as squeezing, compression, burning, cutting. But in myocardial infarction they are much more pronounced and, as already noted, are often "dagger" character.
In a number of cases develop and the symptoms of cardiac asthma - according to the type of acute malnutrition left gastric.

Angina or myocardial infarction?
The location of the pain during a lightning stroke and myocardial infarct the same. The main differences pain in acute myocardial infarction are:
- strong intensity of the pain;
- duration of more than 15 minutes;
- no pain stops after taking nitroglycerin.

Types of pain in acute myocardial infarction:
In addition to the typical characteristic of a heart attack of a sharp searing pain behind the breastbone, there is still some forms of heart attack, which can masquerade as other diseases of internal organs or does not show. Such forms are called atypical.

1. Gastritis version of myocardial infarction. Manifests as expressed pain in the upper abdomen and reminds aggravation of gastritis. Often at a palpation, i.e. the feeling of the abdomen, there is pain and tenderness of the muscles of the front abdominal wall. As a rule, in such manner affected by the lower sections of the myocardium of the left ventricle, adjacent to the aperture.

2. Asthmatic version of myocardial infarction. This unusual type of heart attack and is very similar to the attack of bronchial asthma. It manifests itself hacking dry cough, feeling of congestion in the chest.

3. Painless version of a heart attack. Is evident deterioration of sleep, or mood, feeling uncertain discomfort in the chest ("heart pain") in combination with pronounced sweating. Usually this option is typical in elderly and senile age, in particular in diabetes mellitus. This option the beginning of myocardial infarction is unfavorable, since the disease is more severe.

4. Аrrhythmic version of myocardial infarction. This variant is characterized by a sudden change of heart rhythm - its increase (tachycardia), uneven or sharp shortening (the blockade atrioventrikuliarna) and loss of consciousness.

5. Brain option of myocardial infarction. The leading symptom of this is a severe headache, which may be accompanied by disorder of view, a violation of consciousness. Often there is paralysis.

6. An atypical variant of myocardial infarction. It is expressed in a fit of pain of various localization.



Which doctor should I contact if there is a pain in acute myocardial infarction

  • Cardiologist
  • Resuscitator
  • The emergency doctor


Are you experiencing pain in acute myocardial infarction? You want to know more detailed information, or you need an inspection? Please sign up on reception to the doctor! Doctors will examine you, examine the external signs and help to determine the disease the symptoms, they will consult you and provide the necessary assistance. You can also call the doctor on the house.

Do you feel myocardial infarction hurts? You should be very careful approach to your health in general. People pay not enough attention to the symptoms of the disease and don't realize that these diseases can be critically dangerous. There are many diseases that in the beginning didn't manifest in our body, but in the end it turns out, unfortunately, it have already been treated too late. Every disease has its own specific features typical symptoms - called symptoms of the disease. Definition of symptoms is the first step in the diagnosis of diseases in general. You just need a few times a year to be screened by a doctor, not only to prevent a terrible disease, but also to maintain a healthy spirit in a body and the organism in general.

Pains by category

Pains by alphabet


Map of the symptoms and the types of pain is intended solely for educational purposes. We strongly recommend do NOT self-medicate; on all matters relating to the definition of the disease and ways of its treatment, contact your doctor. Md-tips is not responsible for the consequences of use information posted on the site.

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