Cardiologist Andrei Kondrakhin stated that a myocardial infarction does not always begin with sharp chest pain, as other symptoms may sometimes indicate the occurrence of this condition.
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Kondrakhin explained that a myocardial infarction, according to its typical course, is accompanied by sharp, stabbing chest pain, which may be so intense that the sufferer constantly changes position in search of relief, without the pain subsiding. This may be accompanied by cold, clammy sweats, a general feeling of malaise, and difficulty breathing.
The doctor pointed out that some cases of myocardial infarction may go unnoticed, especially when symptoms manifest as abdominal pain, leading the patient to believe it stems from a stomach problem. He noted that the pain may initially begin during movement and then recur periodically, even while resting or sitting.
Kondrakhin advised that if such symptoms appear, an electrocardiogram (ECG) should be performed as soon as possible and the doctor should be informed of all the details, explaining that the ECG may reveal changes that indicate a heart problem preceding a heart attack.
He added that people over 45 should undergo an electrocardiogram (ECG) if they experience concerning symptoms, emphasizing that chest pain warrants medical attention regardless of age. He pointed out that heart attacks can also affect younger people, so testing can be done even at age 30 if symptoms warrant it.
The doctor explained that a myocardial infarction can sometimes occur without noticeable pain, making it difficult to recognize. While it may be accompanied by severe weakness due to heart failure in some cases, the absence or weakness of pain does not rule out the possibility of a heart attack.
Kondrakhin noted that some warning signs may appear days before a heart attack, with pain sometimes starting while walking and then appearing at rest, before developing into severe pain. In some cases, atypical symptoms may appear, such as toothache, which might lead a person to believe the problem is dental rather than cardiac.
The doctor stressed that the differences in symptoms of myocardial infarction from one person to another make paying attention to unusual symptoms and conducting medical examinations when they appear important.
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