Pain with myocardial infarction

, medical expert
Last reviewed: 20.11.2021

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Pain with myocardial infarction patients characterize as acute and even dagger, burning. Such pain is observed in people with ischemic necrosis, that is, necrosis of left ventricular muscle tissue. This necrosis is most often caused by a thrombus in the coronary artery, which provides this site with blood.

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Causes of myocardial infarction

One of the causes of a heart attack may be a thrombus within the coronary arteries that suffer from cardiac ischemia, which arises from atherosclerotic plaques in the arteries. Atherosclerotic plaques can remain in the latent state for a long time and can not be detected by any symptoms. But when the course of ischemia worsens, in addition to thrombi, the cardiac vessels can spasmodic, and this manifests as angina. By the way, it is worth knowing that angina often becomes a harbinger of myocardial infarction.

In some cases, myocardial infarction can also occur if the coronary artery is not completely clogged.

In the risk groups that can suffer from myocardial infarction - people from 30 years old who often experience stress, misapply, abuse alcohol and tobacco, fatty foods.

The most dangerous precursors of myocardial infarction are high cholesterol in the body, increased pressure, pressure jumps, obesity, inactive lifestyle, constant stress.

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What is the pain with myocardial infarction?

There are several types of pain in infarction, which are very difficult to distinguish from pain in other diseases. They are called atypical.

Gastritic infarction

This type of infarction can manifest as pain in the region of ephedra, in character similar to pain in gastritis. When the doctor touches the stomach, a person may be hurt, the muscles of the anterior abdominal wall are strained. In this type of disease, the lower parts of the left ventricle myocardium, which are adjacent to the myocardium, can be affected.

Asthmatic infarction

This type of disease is atypical. It is very similar to attacks that occur in bronchial asthma. In this case, an additional symptom may be asthma, dry cough, a feeling that the breast is embedded.

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Bezbolevoy heart attack

There is also a type of heart attack. It can manifest itself in the form of insomnia, bad sleep, nightmares in a dream, a strange causeless depression, burning in the chest and increased sweating. This type of infarction especially affects people in the elderly and older, especially if accompanied by diabetes. Such an IVP of myocardial infarction is better not to worry, because it is the most unpromising.

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Arrhythmic infarction

This type of heart attack is manifested by a strong and rapid change in the rhythm of the heart, tachycardia. This type of infarction can also manifest as a loss of consciousness or blockade of atrioventricula.

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Brain infarction

This type of heart attack is characterized by very strong and severe headaches. Additional symptoms may include visual disturbances, loss of consciousness, even paralysis.

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Atypical myocardial infarction

This condition is very dangerous for life and can be characterized by severe pain that occurs in different parts of the body - the so-called irradiating pain.

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What kind of pain does myocardial infarction have?

The pain is pronounced, strong, its intensity directly depends on how much the heart muscle is affected. Pain with a heart attack is much more pronounced than with angina pectoris, and lasts longer. If angina pain lasts for 15 minutes, then with a heart attack after this period, it only increases and can last for several hours. In addition, with a heart attack, you can not help yourself with nitroglycerin, and with angina pectoris, you can.

The nature of pain in the infarction - not passing through, in the form of waves, these pains can subside after the doctor injects an anesthetic injectively. But then the pain can resume again.

By localization, pain with a heart attack can be troubling in the area behind the sternum, as well as in the left side of the chest. Pain can give (irradiate) to the left arm - its internal surface of muscles. In the fingers and wrist, as well as in the hands, tingling can be felt. Pain with a heart attack can also give in the shoulders, neck, space between the shoulder blades, the jaw.

Sensations of pain can also be accompanied by negative emotions: fear of suffocation, anxiety, groans, a sense of the proximity of an imminent death. The face is distorted by pain - compressive, pressing, cutting, burning, dagger.

Who should I contact if you have pain with myocardial infarction?

Pain with myocardial infarction can often end very badly, so at the first symptoms you need to call a doctor. Treatment of myocardial infarction is carried out in the intensive care unit by a cardiologist and resuscitator.

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