Some people who have myocardial ischemia don't experience any signs or symptoms (silent ischemia). When myocardial ischemia does cause signs and symptoms, they may include:
- Chest pressure or pain, typically on the left side of the body (angina pectoris)
- Neck or jaw pain
- Shoulder or arm pain
- A fast heartbeat
- Shortness of breath
- Nausea and vomiting
When to see a doctor
If you have chest discomfort, especially if it's accompanied by one or more of the other signs and symptoms listed above, seek medical care immediately. Call 911 or your local emergency number. If you don't have access to emergency medical services, have someone drive you to the nearest hospital. Drive yourself only as a last resort, if there are absolutely no other options. Driving yourself puts you and others at risk if your condition suddenly worsens.
March 06, 2014
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- American Heart Association. http://www.heart.org/HEARTORG/Conditions/HeartAttack/PreventionTreatmentofHeartAttack/Silent-Ischemia-and-Ischemic-Heart-Disease_UCM_434092_Article.jsp. Accessed Oct. 17, 2013.
- Fihn SD, et al. 2012 ACCF/AHA/ACP/AATS/PCNA/SCAI/STS guideline for the diagnosis and management of patients with stable ischemic heart disease. Journal of the American College of Cardiology. 2012;30:e44.
- Podrid PJ. Pathophysiology and clinical presentation of ischemic chest pain. http://www.uptodate.com/home. Accessed Oct. 15, 2013.
- Fuster V, ed. et al. Hurst's The Heart. 13th ed. New York, N.Y.: The McGraw-Hill Companies; 2011. http://www.accessmedicine.com/resourceTOC.aspx?resourceID=5. Accessed Oct. 15, 2013.
- What are coronary heart disease risk factors? National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/health-topics/topics/hd/printall-index.html. Accessed Oct. 17, 2013.
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