History and exam

Key diagnostic factors

common

chest pain

Patients typically present with central chest pain:[1][2][82]

  • Classically retrosternal, crushing, heavy, severe, and diffuse in nature

  • Might be described by the patient as ‘pressing or squeezing’ 

  • May occur at rest or on activity

  • May be constant or intermittent, or wax and wane in intensity

  • Sometimes radiating to the left arm, neck, or jaw

  • May be associated with nausea, vomiting, dyspnoea, diaphoresis, lightheadedness, palpitations, or syncope.[82] 

Always ask about the characteristics of the chest pain as part of your history; in particular:[82]​​​ 

  • “Have you ever had this type of pain before?”

  • Nature, severity, duration of pain

  • Radiation

  • Associated symptoms

  • Time since symptom onset – this is crucial to inform the appropriate reperfusion strategy[2][74][75] 

    • If symptoms are intermittent, it is important to ask when the last episode of pain occurred.[82] 

Practical tip

The choice of coronary reperfusion strategy depends on time since symptom onset – but obtaining an exact time for this can be difficult.

  • Patients can often give only an approximate idea of when their symptoms began.

  • Patients sometimes ignore chest pain (or associated symptoms) until they can no longer tolerate it.

  • The reliability of the assessment of time since symptom onset is determined by a combination of the patient’s ability to give an accurate history and the experience and skill of the clinician taking the history.

  • If you question the patient carefully, they may describe warning signs, or less severe or less long-lasting symptom episodes preceding the more severe episode that has prompted them to seek medical help.

Practical tip

Do not rely on a positive patient response to glyceryl trinitrate as a reliable diagnostic indicator of ischaemic chest pain.[2][82][96]

  • Response to nitrates can be misleading. Patients who get symptom relief still need confirmatory ECG testing to inform the diagnosis.

  • Complete normalisation of ST-segment elevation along with resolution of chest pain after buccal or sublingual nitrates suggests coronary vasospasm (with or without associated MI).[2]

dyspnoea

Dyspnoea is a common feature secondary to pulmonary congestion from left ventricular systolic dysfunction.[2]​​

It can also occur due to other mechanical and electrical complications of acute MI, which occur less commonly in the context of contemporary rapid revascularisation, for example:

  • Left ventricular aneurysm

  • Ventricular septal rupture

  • Left ventricular free wall rupture

  • Acute mitral regurgitation

    • Papillary muscle rupture

    • Functional (ischaemic) mitral regurgitation

  • Pericardial effusion

  • Cardiac tamponade

  • Supraventricular tachyarrhythmias

  • Ventricular tachyarrhythmias

  • Bradycardia and atrioventricular block.

pallor

Pallor is a common feature due to high sympathetic output resulting in peripheral vasoconstriction.

diaphoresis

Marked sweating is a common feature due to high sympathetic output.[2][139]​​ 

cardiac risk factors

Check for any history of cardiovascular disease: in particular, ischaemic heart disease.[82]​ 

  • Also check for any previous episodes of investigation or treatment for chest pain.

  • A history of coronary artery disease should increase your index of suspicion.[2] 

A cardiovascular risk factor profile is an important part of your history-taking. Check:[82]

  • Smoking status

  • Hypertension

  • Diabetes mellitus

  • Hypercholesterolaemia

  • Family history of premature coronary artery disease (<60 years)

  • Established coronary artery disease

  • Advanced age

  • Obesity

  • Metabolic syndrome

  • Physical inactivity

  • Chronic kidney disease

  • Cocaine use.

uncommon

abnormal breath sounds

Auscultate the heart and lungs.

  • Crackles/crepitations or cardiac wheeze would suggest congestive cardiac failure ± pulmonary oedema.

additional heart sounds

Auscultate the heart and lungs.

  • Muffled heart sounds could suggest a pericardial effusion or even cardiac tamponade.

  • Is there a third (S3) or fourth (S4) heart sound?

    • These added heart sounds could suggest severe heart failure.

  • A murmur might suggest:

    • Acute ventricular septal defect

    • Acute mitral regurgitation

    • Underlying chronic valvular heart disease.

cardiogenic shock

Cardiogenic shock complicates 5% to 10% of STEMI admissions.[80][99]​​​​[100]​ 

  • In-hospital mortality remains high (≥50%).[80][100]​ 

  • There is a bimodal presentation: the majority occur within 24 hours; the remainder occur within the first week.[100][101]​​​​

Seek immediate senior support and specialist input if your clinical assessment suggests cardiogenic shock.

See Shock

Patients present with signs of hypoperfusion and/or fulminant heart failure, such as:[80]

  • Altered mental status/reduced consciousness

  • Tachypnoea

  • Severe dyspnoea

  • Tachycardia

  • Orthopnoea

  • Cool peripheries

  • Grey, ashen, pale appearance.

Cardiogenic shock is primarily a clinical diagnosis supported by haemodynamic measures. It is defined as persistent hypotension (systolic blood pressure [SBP] <90 mmHg) together with signs of end-organ hypoperfusion.[78][79][80][140]​​​​ 

  • Clinical criteria:[78][80]​​

    • SBP <90 mmHg despite adequate volume replacement, or if inotropes and/or mechanical circulatory support are needed to maintain SBP ≥90 mmHg

    • Urine output <30 mL/hour

    • Cool extremities

    • Elevated lactate.

  • Haemodynamic criteria:[78][80]​ 

    • Cardiac index ≤2.2 L/minute/m2

    • Wedge pressure ≥15 mmHg.

  • Cardiogenic shock results from extensive left ventricular infarction and/or mechanical complications such as:

    • Papillary muscle rupture

    • Ventricular septal rupture

    • Left ventricular free wall rupture leading to pericardial tamponade

    • Right ventricular infarction.

Other diagnostic factors

common

nausea and/or vomiting

Nausea and vomiting are common features.[2][82]​​​​ 

  • These are non-specific symptoms but are commonly associated with inferior-wall STEMI due to increased vagal tone.

  • May be the only indicator of inferior-wall STEMI.

dizziness or light-headedness

Patients commonly report feeling lightheaded or weak/lethargic.[2]

  • This is due to cerebral hypoperfusion as a result of hypotension and/or symptomatic bradycardia.

distress and anxiety

The patient may report an impending sense of doom or death.

palpitations

Some patients present with palpitations.[2][94]

  • Tachycardia

    • Supraventricular tachyarrhythmias such as atrial fibrillation

    • Ventricular tachyarrhythmias such as ventricular tachycardia

  • Bradycardia

    • Sinus bradycardia

    • Atrioventricular block secondary to inferior STEMI

    • Atrioventricular block secondary to anterior STEMI

  • Irregular heart beat

    • Supraventricular tachyarrhythmias such as atrial fibrillation

    • Ventricular extrasystoles

uncommon

reduced consciousness

Changes in mental status/reduced consciousness are associated with cardiogenic shock or bradycardia and hypotension.[79][80][100]​ 

hypotension

Hypotension may be present in:

  • Cardiogenic shock – systolic blood pressure (SBP) <90 mmHg despite adequate volume replacement, or if inotropes and/or mechanical circulatory support are needed to maintain SBP ≥90 mmHg[78][79][80]​​

  • Inferior STEMI

  • Right ventricular infarction

    • Complicating inferior STEMI or an extensive anterior STEMI

    • Always think of the triad of hypotension, elevated jugular venous pressure, and clear lung fields[83]​​​ 

  • Cardiac tamponade

  • Haemodynamically significant atrioventricular block, supraventricular tachyarrhythmias, or ventricular arrhythmias.[100]​ 

non-chest pain presentation (chest pain-equivalent symptoms)

Be aware of patient groups who present without chest pain as the predominant feature (i.e., with chest pain-equivalent symptoms).[2][82]​​​​

  • Women, older patients, and patients with diabetes are more likely to present with atypical features.[2][95]

  • Patients might describe their chest symptoms as burning, throbbing, tight, or a feeling like trapped wind.

    • The patient may describe indigestion rather than chest pain.

  • In the absence of chest pain, there may be epigastric pain, back (interscapular) pain, neck or jaw pain, or arm pain (typically left-sided).

  • Clinical suspicion is key to making the diagnosis. It is, therefore, vital to make a full assessment based on the history, examination, and serial ECGs.[1][92]

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