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Clinical features

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

The clinical features of acute myocardial infarction include:

  • chest pain:
    • central, crushing pain
    • may radiate to the jaw, neck, and one or both arms
    • is a similar pain to that found in angina pectoris but patients with previous angina will often complain that the pain is more severe and lasts longer than angina

  • nausea, vomiting, sweating

  • the patient is often distressed and may be tachycardic, cold and clammy

  • blood pressure is variable

  • the patient may be cyanosed

  • mild pyrexia is variable feature

Presentation may be with features of the complications, such as left ventricular failure e.g. with dyspnoea

Myocardial infarction is silent in 30% - particularly in diabetics and elderly patients.

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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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