Typical Complaint in Patients with Acute Myocardial Infarction (AMI)

Typical complaint is retrosternal chest pain, such as squeezing, pressure, plugging, heat or crushed heavy objects. The pain may spread to the arms (usually the left), shoulders, neck, jaw and even to the back and epigastrium. The pain lasts longer than angina pectoris and unresponsive to nitroglycerin. Sometimes, especially in diabetic patients, and the elderly, found no pain at all. The pain can be accompanied by nausea, vomiting, spasms, dizziness, sweating, palpitations or syncope. Patients often looked frightened. Although AMI can be the first manifestation of coronary heart disease, but if history is done carefully it is often actually been preceded by complaints of angina, an uneasy feeling in the chest or epigastric.

Abnormalities on physical examination no specific and can be normal. Can be found the S2 heart sounds are broken, paradoxical and gallop rhythm. Crepitation basal showed lung dam. Tachycardia, pallor, cold and hypotension are found in relatively more severe cases, sometimes found pulsation dyskinetic-looking or are in the inferior wall of the chest at the IMA.

Although the majority of individuals do not show obvious signs of myocardial infarction, clinical manifestations usually include:

• Sudden chest pain.
• Nausea and vomiting.
• Feeling weak.
• Cold and pale skin.
• A decrease of urine.
• Tachycardia due to the increase.
• Sympathetic stimulation of the heart.
• Anxious.
• The pain may spread to the arms (generally to the left), shoulders, neck, jaw, and even to the back and epigastrium.
• The pain lasts longer than usual angina pectoris and unresponsive to nitroglycerin.

Anyone who had a heart attack will feel the complaints are of course different, but generally a person will feel some specific things like:

1. Chest pain, muscle where lack of blood supply (called ischemia conditions) that affect the need of oxygen by the muscles is reduced. The result is excessive metabolism causing cramps or spasms. Pain is felt in the center of the chest, it can spread to the back of the chest, to the left of the base of the neck, shoulders and upper arms and left hand. Some patients may experience abdominal pain upper part (the base of the center rib and even part of the stomach), where the pain is more severe and does not disappear despite being rested or given cardiac pain medication (nitroglycerin). This is called angina, patients feel uneasy with tightness in the chest and like to feel chest knead.
2. Shortness of breath, usually felt by people who have heart failure. Tightness is a result of the entry of fluid into the air cavities in the lungs (pulmonary congestion or pulmonary edema).
3. Fatigue or tiredness, Abnormalities of the heart can cause heart pumping that was not optimal. As a result, the blood supply to the muscles of the body while doing the activity will be reduced, This causes the patient to feel weak and tired. Such symptoms are mild, people just trying to reduce its activity and assume that it is only the aging process.
4. There is a feeling of pounding (palpitations).
5. Dizziness and fainting, It can be an early symptom of patients with coronary heart disease. Where decreased blood flow due to rate or abnormal heart rhythm or for worse pumping ability, can cause dizziness and fainting.
6. Bluish on the lips, fingers and toes as a sign of inadequate blood flow throughout the body.
7. Sudden cold sweat, and others such as nausea and anxiety.

Signs of a heart attack:

1. Sense depressed (feels crushed heavy burden, pain, pinched and burning) that causes shortness of breath and choking on the neck.
2. The pain may radiate to the left arm, neck and back.
3. The pain can last about 15-20 minutes and occurs continuously.
4. Arise cold sweat, body weakness, heart palpitations and even unconscious.
5. The pain can be reduced when taking a break, but will gain weight if the patient is on the move.

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