What symptoms does myocardial ischemia cause?

Myocardial ischemia is a very common disease in medicine, and it exists in almost any age group, so people should not be careless. It is very likely that they suffer from myocardial ischemia. We should also understand some methods to prevent myocardial ischemia and protect ourselves. So what symptoms will myocardial ischemia cause? Today I will tell you what symptoms myocardial ischemia can cause.

1. When tired or mentally stressed, there will be dull pain behind the sternum or in front of the heart, or tightening pain, which radiates to the left shoulder and left upper arm, lasting for 3 to 5 minutes, and will be relieved by itself after rest, accompanied by profuse sweating.

2. Chest tightness, palpitations, and shortness of breath occur during physical activity and are relieved on their own during rest.

3. Exercise-related sore throat, burning sensation, tightness, toothache, etc.

4. Chest pain and tightness occur after a full meal, cold weather, or drinking.

5. When the pillow is low when sleeping at night, you will feel chest tightness and shortness of breath, and you need to lie in a high pillow to feel comfortable; when you are sleeping soundly or lying flat during the day, you will suddenly have chest pain, palpitations, and difficulty breathing, and you need to sit up or stand up immediately to relieve the pain.

6. Feeling anxious, chest tightness, shortness of breath, or chest pain during sexual intercourse or straining to have a bowel movement.

7. Sudden bradycardia, low blood pressure or syncope.

[Other symptoms]

Patients without typical symptoms may only feel stomach discomfort, nausea, or toothache, cervical pain, etc.

[Diagnosis basis]

1. When tired or mentally stressed, dull pain or tightening pain may occur behind the sternum or in front of the heart, and radiate to the left shoulder and left upper arm, lasting for 3-5 minutes. The pain may be relieved after rest, and may be accompanied by profuse sweating.

2. Those who experience chest tightness, palpitations, and shortness of breath during physical activities, which are relieved by themselves during rest.

3. The type of ECG changes caused by myocardial ischemia depends on the severity, duration and site of ischemia. In a typical myocardial ischemia attack, the leads facing the ischemic area often show ischemic ST segment depression and/or T wave inversion.

4. Coronary angiography

It can directly observe the blockage of the main coronary artery and its small branches, and is the most valuable detection method for showing coronary atherosclerotic lesions.