Myocardial Infarction (MI) / Unstable Angina Quiz

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Nausea

Malaise

Chest pain

Neck pain

Shortness of breath

Vomiting

Jaw pain

Left arm pain

Cold sweats

Chest tightness

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What is Myocardial Infarction (MI) / Unstable Angina?

These are often grouped together under the term "Acute Coronary Syndrome" (ACS) and are potentially life-threatening. This occurs when a blood vessel supplying the heart is blocked, usually by a blood clot. Risk factors include high cholesterol, high blood pressure, a sedentary lifestyle, diabetes, and a family history of cardiovascular diseases (e.g., stroke, heart disease).

Typical Symptoms of Myocardial Infarction (MI) / Unstable Angina

Diagnostic Questions for Myocardial Infarction (MI) / Unstable Angina

Your doctor may ask these questions to check for this disease:

  • Do you have stomach or abdominal pain in a specific area?
  • Do you have any bluish or pale skin?
  • Does your breathing improve when you sit up from lying down?
  • Do you have pain on the left side of your chest?
  • Are you currently on dialysis?

Treatment of Myocardial Infarction (MI) / Unstable Angina

This is a medical emergency and requires prompt medical attention in the hospital. Treatment aims to restore blood supply to the heart with medication to reduce blood clot size, prevent clot formation, and reduce the workload of the heart. Surgery or procedures are performed to open up the blocked artery supplying the heart or reroute blood around the blocked area.

Reviewed By:

Osler Jay Justo Guzon, MD

Osler Jay Justo Guzon, MD (Cardiology)

Dr. Guzon graduated from the University of Missouri-Kansas City School of Medicine with a BLA and MD. He then completed his Internal Medicine Residency at St. Louis University before a fellowship in Cardiovascular Diseases at the University of Missouri-Columbia. He has since working as an invasive cardiologist with a particular interest in preventative medicine and cardiometabolic disease. Over the past several years, Dr. Guzon has served on the speaker bureaus of AstraZeneca, Lilly, Boehringer-Ingelheim, and Aralez.

Tatsuya Shiraishi, MD

Tatsuya Shiraishi, MD (Cardiology)

Dr. Shiraishi graduated from the Kyoto University School of Medicine. He worked as a cardiologist at Edogawa Hospital, and after joining Ubie, he became the Director of East Nihonbashi Internal Medicine Clinic.

From our team of 50+ doctors

Content updated on Jul 18, 2024

Following the Medical Content Editorial Policy

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Symptoms Related to Myocardial Infarction (MI) / Unstable Angina

Diseases Related to Myocardial Infarction (MI) / Unstable Angina

FAQs

Q.

Scared of Blockage? Why Your Heart Needs Angioplasty and Medically Approved Next Steps

A.

Angioplasty is a minimally invasive way to open blocked coronary arteries, restore blood flow, ease chest pain, and during a heart attack save heart muscle and lives, with serious complications uncommon in experienced hands; it treats the narrowed artery but not the underlying coronary disease. The medically approved next steps include urgent care for warning symptoms, prompt doctor evaluation and testing, an individualized decision between angioplasty and medications, and strict adherence to antiplatelet therapy plus lifestyle risk reduction; there are several factors to consider, so see the complete details below to understand timing, safety, and alternatives that could change your plan.

References:

* Lawton JS, et al. 2021 ACC/AHA/SCAI Guideline for Coronary Artery Revascularization: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. J Am Coll Cardiol. 2022 Jan 18;79(2):e21-e129. doi: 10.1016/j.jacc.2021.09.006. Epub 2021 Dec 6. PMID: 34895623.

* Knuuti J, et al. 2019 ESC Guidelines for the diagnosis and management of chronic coronary syndromes. Eur Heart J. 2020 Jan 14;41(3):407-477. doi: 10.1093/eurheartj/ehz425. PMID: 31504439.

* Valgimigli M, et al. 2018 ESC/EACTS Guidelines on myocardial revascularization. Eur Heart J. 2018 Oct 7;39(42):3736-3808. doi: 10.1093/eurheartj/ehy394. PMID: 30165437.

* Collet JP, et al. 2020 ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation. Eur Heart J. 2021 Apr 12;42(14):1289-1367. doi: 10.1093/eurheartj/ehaa575. PMID: 32860058.

* Grundy SM, et al. 2018 AHA/ACC/AACVPR/AAPA/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline on the Management of Blood Cholesterol: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Circulation. 2019 Jun 18;139(25):e1082-e1143. doi: 10.1161/CIR.0000000000000625. Epub 2018 Nov 10. PMID: 30586774.

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Q.

Nitro Not Working? Why Your Chest is Still Tight & Medical Next Steps

A.

If nitro does not ease chest tightness within minutes, it could mean the pain is not angina, a heart attack or unstable angina is developing, you have nitrate tolerance, or the dose, timing, or storage was off. Use the 5-minute rule up to 3 doses and call emergency services if pain persists or red flag symptoms appear; do not drive. There are several factors to consider, and important details about other causes, risk factors, and what doctors will do next are explained below.

References:

* Uriel, N., & Stone, G. W. (2022). Management of Refractory Angina. JACC. Cardiovascular Interventions, 15(1), 1–13.

* Knuuti, J., et al. (2020). 2019 ESC Guidelines for the diagnosis and management of chronic coronary syndromes. European Heart Journal, 41(3), 407–477.

* Ong, P., et al. (2020). International Classification of Coronary Artery Anomalies (ICCA) for Microvascular Angina. Journal of the American Heart Association, 9(12), e016921.

* Crea, F., et al. (2022). Ischemia with non-obstructive coronary arteries: A multidisciplinary approach to diagnosis and treatment. European Heart Journal, 43(35), 3290–3306.

* Kunadian, V., et al. (2020). Chronic Coronary Syndromes. JACC: Cardiovascular Interventions, 13(13), 1500–1512.

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Maxwell J. Nanes, DO

Maxwell J. Nanes, DO

Emergency Medicine

Waukesha Memorial Hospital, Waukesha Wisconsin, USA

Caroline M. Doan, DO

Caroline M. Doan, DO

Internal Medicine

Signify Health

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Benjamin Kummer, MD

Neurology, Clinical Informatics

Icahn School of Medicine at Mount Sinai

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Charles Carlson, DO, MS

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U.S. Department of Veterans Affairs

Dale Mueller, MD

Dale Mueller, MD

Cardiothoracic and Vascular Surgery

Cardiothoracic and Vascular Surgery Associates

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Ravi P. Chokshi, MD

Obstetrics and gynecology

Penn State Health

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References