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Also known as 'effort angina', this refers to the classic type of angina related to myocardial ischemia.A typical presentation of stable angina is that of chest discomfort and associated symptoms precipitated by some activity (running, walking, etc.) with minimal or non-existent symptoms at rest or after administration of sublingual nitroglycerin. [11]
A woman clutching her chest, a common sign of a heart attack. Chest pain may present in different ways depending upon the underlying diagnosis. Chest pain may also vary from person to person based upon age, sex, weight, and other differences. [1] Chest pain may present as a stabbing, burning, aching, sharp, or pressure-like sensation in the chest.
Chest pain due to coronary ischemia commonly radiates to the arm or neck. [7] Certain individuals such as women, diabetics, and the elderly may present with more varied symptoms. [8] If blood flow through the coronary arteries is stopped completely, cardiac muscle cells may die, known as a myocardial infarction, or heart attack. [9]
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Women more often present without chest pain and instead have neck pain, arm pain or feel tired. [11] Among those over 75 years old, about 5% have had an MI with little or no history of symptoms. [12] An MI may cause heart failure, an irregular heartbeat, cardiogenic shock or cardiac arrest. [3] [4] Most MIs occur due to coronary artery disease. [3]
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