Heartburn, Angina Or Heart Attack?
Ethan Miller asked:
“Sometimes it’s impossible to tell the difference between the symptoms of heartburn, angina and heart attack,” cautioned Prediman K. (P.K.) Shah, M.D., director of the Division of Cardiology and the Atherosclerosis Research Center at Cedars-Sinai Medical Center. “There are some useful pointers that might help a person know whether they’re having a heart attack or not, but when in doubt, check it out.”
Knowing your risk factors that may predispose you to a heart attack is the most important factor to keep in mind. They will determine whether you ‘brush over’ the symptoms or take them seriously.
Shah said: “If you smoke, have diabetes, high cholesterol, high blood pressure, are overweight or have a strong family history of heart disease and have any symptom related to the chest or heart, you should be suspicious.” Heart attack symptoms include the sudden onset of tightness, pressure, squeezing, burning, or discomfort in the chest, throat, neck or either arm. You should be especially suspicious if these symptoms are accompanied by nausea, vomiting, sweating, shortness of breath or a fainting sensation, Shah warned. “That’s when a bell should ring telling you that these symptoms may be indicating a heart attack.”
Angina is the most often seen symptom of coronary heart disease. Angina is pain in the chest or discomfort that occurs when the heart muscles do not receive enough blood. The pain occur in the shoulders, arms, neck, jaw and/or back. Angina may feel like indigestion.
“Generally we recommend that if you think you’re having a heart attack, call 9-1-1,” said Shah. “It’s the safest thing to do. We tell people to err on the side of caution and overreact instead of under react.”
The symptoms of reflux or heartburn can look like a heart attack. If you’ve had heartburn all your life and the symptoms you’re experiencing are identical to those you’ve had before then you’re probably experiencing heartburn and not a heart attack. But if the symptoms are accompanied by feeling light-headed or sweaty, “then that type of heartburn should be taken more seriously,” Shah said. “It could signal that you’ve having a heart attack.”
A heart attack is caused when the supply of blood to the heart muscle is reduced or stopped. This happens when the coronary arteries that supply blood to the heart become blocked. Death or disability is dependent on the percentage of the heart muscle is damaged.
There is no way to predict the time of the day when a heart attack may occur, or the circumstances that may cause a heart attack. A heart attack can strike in the middle of the night, after a meal, in the middle of a rest period, during or after sexual activity or physical activity.
“Obviously, if you’ve been diagnosed with coronary heart disease, then any of these symptoms should ring a loud bell,” said Shah.
Shah emphasized that many types of heart disease that he describes as different “flavors” do not produce pain but are as life-threatening as a typical heart attack.
A regular check-up by a physician when you reach middle age (between 45 and 50) or before beginning a heavy exercise program is essential, he said. “Certain heart conditions can remain hidden and put persons at risk for sudden death. It’s important to point out that heart disease isn’t just one flavor – there are many different flavors.”
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“Sometimes it’s impossible to tell the difference between the symptoms of heartburn, angina and heart attack,” cautioned Prediman K. (P.K.) Shah, M.D., director of the Division of Cardiology and the Atherosclerosis Research Center at Cedars-Sinai Medical Center. “There are some useful pointers that might help a person know whether they’re having a heart attack or not, but when in doubt, check it out.”
Knowing your risk factors that may predispose you to a heart attack is the most important factor to keep in mind. They will determine whether you ‘brush over’ the symptoms or take them seriously.
Shah said: “If you smoke, have diabetes, high cholesterol, high blood pressure, are overweight or have a strong family history of heart disease and have any symptom related to the chest or heart, you should be suspicious.” Heart attack symptoms include the sudden onset of tightness, pressure, squeezing, burning, or discomfort in the chest, throat, neck or either arm. You should be especially suspicious if these symptoms are accompanied by nausea, vomiting, sweating, shortness of breath or a fainting sensation, Shah warned. “That’s when a bell should ring telling you that these symptoms may be indicating a heart attack.”
Angina is the most often seen symptom of coronary heart disease. Angina is pain in the chest or discomfort that occurs when the heart muscles do not receive enough blood. The pain occur in the shoulders, arms, neck, jaw and/or back. Angina may feel like indigestion.
“Generally we recommend that if you think you’re having a heart attack, call 9-1-1,” said Shah. “It’s the safest thing to do. We tell people to err on the side of caution and overreact instead of under react.”
The symptoms of reflux or heartburn can look like a heart attack. If you’ve had heartburn all your life and the symptoms you’re experiencing are identical to those you’ve had before then you’re probably experiencing heartburn and not a heart attack. But if the symptoms are accompanied by feeling light-headed or sweaty, “then that type of heartburn should be taken more seriously,” Shah said. “It could signal that you’ve having a heart attack.”
A heart attack is caused when the supply of blood to the heart muscle is reduced or stopped. This happens when the coronary arteries that supply blood to the heart become blocked. Death or disability is dependent on the percentage of the heart muscle is damaged.
There is no way to predict the time of the day when a heart attack may occur, or the circumstances that may cause a heart attack. A heart attack can strike in the middle of the night, after a meal, in the middle of a rest period, during or after sexual activity or physical activity.
“Obviously, if you’ve been diagnosed with coronary heart disease, then any of these symptoms should ring a loud bell,” said Shah.
Shah emphasized that many types of heart disease that he describes as different “flavors” do not produce pain but are as life-threatening as a typical heart attack.
A regular check-up by a physician when you reach middle age (between 45 and 50) or before beginning a heavy exercise program is essential, he said. “Certain heart conditions can remain hidden and put persons at risk for sudden death. It’s important to point out that heart disease isn’t just one flavor – there are many different flavors.”
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Tags: Nausea Vomiting, Suspicious Heart
Common Migraine Symptoms
Lesley Lyon asked:
A majority of the migraine attacks are accompanied by headache, which is an intense, throbbing or pounding pain involving one temple. At times, the pain may be located in the forehead or around the eye or the back of the head. Usually, migraine attack reoccurs and is a chronic disability. The headache is generally on one side of the head, though it may rarely happen on both the sides. The unilateral headache changes sides alternatively, from one attack to another, which is, in fact, characteristic of migraine (otherwise it may be a more serious problem).
Daily routines like walking upstairs aggravate a migraine headache. The most common and obvious symptoms of migraine are nausea, vomiting, or sensitivity to light. Some people experience warning symptoms called aura before the actual beginning of a headache. An aura is a group of symptoms, mainly a vision disturbance which foretells that a headache is coming. But, most of the people do not have such warning signs. In fact, migraine headaches are classified based on their symptoms such as migraine without aura, migraine with aura and mixed tension migraine.
Migraine without aura: The most common symptoms can be a throbbing pulsating headache, which is usually worse on the sides of the forehead, generally only on one side, that can be either severe or dull, lasting for six to forty eight hours. The other symptoms are dizziness, vertigo (a feeling that the room is moving), loss of appetite, fatigue and nausea. There may be symptoms after a migraine attack too. It can be dullness, neck pain and a need for more sleep. Such symptoms may be accompanied apart from headache.
Migraine with aura: Before the headache, the warning symptoms may occur anywhere from a few minutes to 24 hours and the aura or vision changes happen in one or both the eyes. The symptoms may be one or more of the following; seeing zigzag lines, seeing flashing lights, temporary blind spots, sensitivity to bright light, visual hallucinations, blurred vision and eye pain. Accompanying the headache, there are other symptoms like loss of appetite, chills, increased urination, increased sweating, irritability and fatigue. The “pounding” headache starts on one side and spreads to the other side that typically starts as a dull ache and progressively worsens over several minutes to hours. So, the patients wish to rest in a quiet, dark room.
Mixed tension migraine: This migraine is a headache with features of both tension and migraine headache. The symptoms include headache on one or both sides and the person may feel dull, tight and the pain, which varies from mild to severe, may get worse with activity, lasting from 4 to 72 hours. Sensitivity to light or sound, depression, tingling, sluggishness, numbness, and weakness are other symptoms.
Unfortunately, migraine headache is a recurring chronic ailment, which may recur after 24 hours for some people.
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A majority of the migraine attacks are accompanied by headache, which is an intense, throbbing or pounding pain involving one temple. At times, the pain may be located in the forehead or around the eye or the back of the head. Usually, migraine attack reoccurs and is a chronic disability. The headache is generally on one side of the head, though it may rarely happen on both the sides. The unilateral headache changes sides alternatively, from one attack to another, which is, in fact, characteristic of migraine (otherwise it may be a more serious problem).
Daily routines like walking upstairs aggravate a migraine headache. The most common and obvious symptoms of migraine are nausea, vomiting, or sensitivity to light. Some people experience warning symptoms called aura before the actual beginning of a headache. An aura is a group of symptoms, mainly a vision disturbance which foretells that a headache is coming. But, most of the people do not have such warning signs. In fact, migraine headaches are classified based on their symptoms such as migraine without aura, migraine with aura and mixed tension migraine.
Migraine without aura: The most common symptoms can be a throbbing pulsating headache, which is usually worse on the sides of the forehead, generally only on one side, that can be either severe or dull, lasting for six to forty eight hours. The other symptoms are dizziness, vertigo (a feeling that the room is moving), loss of appetite, fatigue and nausea. There may be symptoms after a migraine attack too. It can be dullness, neck pain and a need for more sleep. Such symptoms may be accompanied apart from headache.
Migraine with aura: Before the headache, the warning symptoms may occur anywhere from a few minutes to 24 hours and the aura or vision changes happen in one or both the eyes. The symptoms may be one or more of the following; seeing zigzag lines, seeing flashing lights, temporary blind spots, sensitivity to bright light, visual hallucinations, blurred vision and eye pain. Accompanying the headache, there are other symptoms like loss of appetite, chills, increased urination, increased sweating, irritability and fatigue. The “pounding” headache starts on one side and spreads to the other side that typically starts as a dull ache and progressively worsens over several minutes to hours. So, the patients wish to rest in a quiet, dark room.
Mixed tension migraine: This migraine is a headache with features of both tension and migraine headache. The symptoms include headache on one or both sides and the person may feel dull, tight and the pain, which varies from mild to severe, may get worse with activity, lasting from 4 to 72 hours. Sensitivity to light or sound, depression, tingling, sluggishness, numbness, and weakness are other symptoms.
Unfortunately, migraine headache is a recurring chronic ailment, which may recur after 24 hours for some people.
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Tags: Headache Migraine, Nausea Vomiting
