[Anup'da]

CLINICAL FEATURES OF MYOCARDIAL INFARCTION
Symptoms
Prolonged cardiac pain
Chest, throat, arms, epigastrium or back
Anxiety and fear of impending death
Nausea and vomiting
Breathlessness
Collapse/syncope




Physical signs
Signs of sympathetic activation
Pallor, sweating, tachycardia
Signs of vagal activation
Vomiting, bradycardia
Signs of impaired myocardial function
Hypotension, oliguria, cold peripheries
Narrow pulse pressure
Raised jugular venous pressure
Third heart sound
Quiet first heart sound
Diffuse apical impulse
Lung crepitations
Signs of tissue damage
Fever
Signs of complications, e.g. mitral regurgitation, pericarditis