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Hello doctor!
When I went to the doctor, it was recorded as myocardial ischemia. These days, my heart often hurts more, has difficulty breathing, sometimes I want to cough or cough up blood, my body feels tired and may faint. So the doctor asked me, if I often have heart attacks, shortness of breath, fatigue, is there myocardial ischemia?
Looking forward to the doctor's advice, thank you!
Truong Thi Tuyet Yen (2003)
Reply
Hello!
The doctor would like to answer the question: “Is it a heart attack, shortness of breath, fatigue, ischemic heart disease? ” as follows:
Myocardial ischemia or ischemic heart disease, ischemic heart disease are all terms with the same meaning referring to coronary artery disease
Symptoms of myocardial ischemia:
Chest pain : myocardial ischemia manifested mainly by clinical angina. The coronary angina is described with 3 characteristics: Pain like strangulation, pain like tightness or pressure, behind the sternum, spreading to the chin, up the left shoulder and down the left arm. normal substance, increased after exertion, strong emotions, cold,... lasting 3-15 minutes Chest pain relieved at rest or when taking nitroglycerin If all 3 characteristics are present, it is called angina typical chest pain, if only 2/3 of the criteria are called atypical pain, if only 1 or none of the criteria is present, look for a cause other than coronary For elderly or special patients If you are diabetic, your chest pain may be atypical or indistinct, faint. The patient may present to hospital with heart failure without prior history of chest pain, and the coronary arteries are found to be significantly narrowed. Such cases are called silent ischemia. In addition to chest pain, patients with ischemic heart disease often have no specific symptoms.
According to your symptoms, there may be many causes. You should go to the hospital for examination and evaluation tests to get an accurate diagnosis. Myocardial ischemia in patients your age is very rare.
If you still have questions about this issue, you can go to the nearest medical facility or the Hospital of Vinmec Health System for more detailed examination and advice by doctors. Thank you for sending your question to Vinmec, wish you all the best.
Best regards!
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Answered by Master, Doctor Nguyen Van Phong - Internal Medicine and Cardiovascular Interventionist - Cardiovascular Center, Vinmec Times City International Hospital
