Which musculoskeletal symptoms are associated with myocardial ischemia and myocardial infarction (MI, heart attack)?

Updated: May 07, 2019
  • Author: A Maziar Zafari, MD, PhD, FACC, FAHA; Chief Editor: Eric H Yang, MD  more...
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Answer

The discomfort of myocardial ischemia may also erroneously be attributed to a musculoskeletal etiology. Tenderness of the chest wall is reported in as many as 5% of patients who are diagnosed with myocardial infarction (MI). If no injury or event is defined that could have led to a soft-tissue injury, the clinician should be reluctant to render a diagnosis of musculoskeletal chest pain.


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