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Forum Name: Cardiology Symptoms

Question: Angina or MI?

 aini eddy - Fri Feb 28, 2003 10:30 am

How can i differentiate between angina pectoris and myocardial infarction just from looking at the symptoms?
Referred pain at left shoulder..what does that imply?

Thanx for helping.
 Dr. Yasser Mokhtar - Fri Feb 28, 2003 7:31 pm

User avatar Dear Aini,

Thank you very much for using our website.

The only thing that differentiates angina from myocardial infarction is blood testing to know whether or not the heart sustained damage. These blood tests measure substances present in the heart muscle and which are released into the blood when the heart muscle dies. So, if these substances are elevated, then damage did occur and this is a heart attack, if not elevated then these blood tests have to redone in six hours as some times release of these substances in the blood is delayed to make sure that there was no delay release of these substances.

Referred pain at left shoulder implies that this is one the characteristics of the cardiac pain and sometimes helps to differentiate other causes of chest pain.

Once more, thank you very much for using our website and i hope that this information helped.

Yasser Mokhtar, M.D.


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