MI w/o Chest Pain

[Stevo]

Ever get an MI w/o chest pain? seems it happens in females more often than males. Maybe a little dif breath, hx of chf , associated meds....

a strip might reveal all manner of FLB

the vitals might follow suit

so might the skin, eyes, lung sounds etc...

but NO chest pain

~S~

[Wingnut]

In class they taught us it was fairly common in women and in diabetics to have "silent" heart attacks. They tried to nail me with that on my midterm. And I've seen several people who don't find out they had a heart attack until 6 months later when they get a check up.


I watch too much discovery channel :unsure:

[KEVD18]

yip...silent mi. no classic signs(c/p, sob, sweating, nausea etc). frequently, females, specifically post menapausal(sp) females, have atypical signs. not to mention diabetics.

[Doctor B]

And the most scary ones of all; any patient who has had a previous AMI that had a CABG to fix it will not have pain in the occurence of another AMI due to the procedure done to fix the first one!

[TTLWHKR]

Originally posted by KEVD18@Jun 11 2005, 06:43 PM
no classic signs(c/p, sob, sweating, nausea etc).
Oh great.. I'm like a hypochondriac when I read things like that. I get the same symptoms when every my BGL drops to 20 or below.. b/c I never check it. Now I'll think MI instead of hypo-G. :P

[KEVD18]

well if you think the silent mi is bad, i guess i shouldnt tell you too much about ewings tumor.........

[TTLWHKR]

Originally posted by KEVD18@Jun 12 2005, 06:37 PM
well if you think the silent mi is bad, i guess i shouldnt tell you too much about ewings tumor.........
<gets out the fly swatter and whaps K18>

[Wingnut]

Wacker, you're not alone. This is a bad profession for us to be in lol. :D We're suckers for punishment.

[PArescueEMT]

i had a Pt. where the call was for "arm pain" the pt was also c/o SOB, Back Px, and Jaw Px. i look at the Hx, and of course, i see the IDDM, CHF, CAD, and CABG. I called the hospital, and they agreed that it was a Possible MI.











Those are the fun calls. Not trauma, give me a good Medical

[CodeSurfer]

Originally posted by TTLWHKR+Jun 12 2005, 02:17 PM--></div><table border='0' align='center' width='95%' cellpadding='3' cellspacing='1'><tr><td>QUOTE (TTLWHKR @ Jun 12 2005, 02:17 PM)</td></tr><tr><td id='QUOTE'> <!--QuoteBegin-KEVD18@Jun 11 2005, 06:43 PM
no classic signs(c/p, sob, sweating, nausea etc).
Oh great.. I'm like a hypochondriac when I read things like that. I get the same symptoms when every my BGL drops to 20 or below.. b/c I never check it. Now I'll think MI instead of hypo-G. :P [/b][/quote]
Yeah, ever since I went to my EMT class I have gotten like 5 diseases and counting... wonder what it'll be like after medic school!? I even had a-fib this morning!

[KEVD18]

come on, no one got the ewings tumor reference.....

thought thats was a winner for sure

[CodeSurfer]

Originally posted by KEVD18@Jun 18 2005, 07:45 PM
come on, no one got the ewings tumor reference.....

thought thats was a winner for sure
Enlighten us....

[Firechic]

I didn't get the Ewing's Sarcoma reference either.....it's been a long day. :blink:

[KEVD18]

its a reference from the book "catch 22"

in the book, theres a dr. thats a rampant hypochondriac(like some of our fellow members). t one point in the book, yossarian(the main charachetr) is discussing possible malladies that this doc might be infected with, one of them being ewings tumor

if you've never read the book, the whole joke is lost on you.......

[Firechic]

Did you read that book in high school? It's been a long time for me. I was almost finished with HS when you were born! :o
So, yes, it was lost on me.

[KEVD18]

nope didnt read it in hs, still one of m favorites...

[TTLWHKR]

My wife had one; that is.. she had a patient w/ a massive MI who only had dizziness. Of course there was no time for tests b/c she died rather quickly.

[PArescueEMT]

when was that blue?

[TTLWHKR]

Originally posted by PArescueEMT@Jun 21 2005, 02:34 AM
when was that blue?
Trying to bulk you your points there, Pa?

IDK about two weeks ago it seems.

[CodeSurfer]

Ya PA easy on the meaningless posts. :lol:

[Jon]

Originally posted by TTLWHKR+Jun 21 2005, 12:45 PM--></div><table border='0' align='center' width='95%' cellpadding='3' cellspacing='1'><tr><td>QUOTE (TTLWHKR @ Jun 21 2005, 12:45 PM)</td></tr><tr><td id='QUOTE'> <!--QuoteBegin-PArescueEMT@Jun 21 2005, 02:34 AM
when was that blue?
Trying to bulk you your points there, Pa?

IDK about two weeks ago it seems. [/b][/quote]
TTLWHKR - you have 911 posts... Wow!

[CanuckEMT]

I have ran quite a few calls here with elderly females that are having ACS that present with slight SOB and epi-gastric pain. Most of them fell like they " have to burp real bad." So far I would say roughly 6/10 of them have had an AMI with just those two symptoms. I am very leary now when anyone does not present with the " classic" S/S of AMI. Better to treat for the worst and be over cautious.