What are the signs and symptoms of myocardial jeopardy in unstable angina?

Updated: Oct 01, 2020
  • Author: Walter Tan, MD, MS; Chief Editor: Eric H Yang, MD  more...
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Answer

A large area of myocardial jeopardy may manifest as signs of transient myocardial dysfunction and typically signifies a higher-risk situation. Such signs include the following:

  • Systolic blood pressure less than 100 mm Hg or overt hypotension

  • Elevated jugular venous pressure

  • Dyskinetic apex

  • Reverse splitting of the second heart sound

  • Presence of a third or fourth heart sound

  • New or worsening apical systolic murmur due to papillary muscle dysfunction

  • Rales or crackles


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