What is the duration of pain caused by a myocardial infarction (heart attack)?

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Last updated: February 25, 2025View editorial policy

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From the Guidelines

Heart attack pain typically lasts more than 15 minutes and is characterized by a crushing or squeezing sensation in the center or left side of the chest. The symptoms of a heart attack can vary, but they often include chest discomfort, discomfort in other areas of the upper body, shortness of breath, sweating, nausea, and lightheadedness 1. Some people, particularly women, elderly individuals, and those with diabetes, may experience atypical symptoms with minimal or no chest pain, instead having symptoms like shortness of breath, nausea, lightheadedness, or unusual fatigue 1. According to the most recent guidelines, if you suspect a heart attack, call emergency services immediately rather than waiting to see if symptoms resolve, as every minute matters during a heart attack and prompt medical attention can minimize damage to the heart muscle and save lives 1. Key points to consider when evaluating heart attack symptoms include:

  • The duration of the pain, which is typically more than 15 minutes 1
  • The severity of the pain, which is often described as crushing or squeezing 1
  • The presence of other symptoms, such as shortness of breath, nausea, or lightheadedness 1
  • The patient's medical history, including any history of heart disease or risk factors for heart disease 1. It is essential to prioritize prompt medical attention if a heart attack is suspected, as delayed treatment can lead to poor outcomes 1.

From the Research

Duration of Pain Caused by Myocardial Infarction

  • The duration of pain caused by a myocardial infarction (heart attack) is not explicitly stated in the provided studies 2, 3, 4, 5, 6.
  • However, it is mentioned that chest pain is a common symptom of myocardial infarction, and its duration can vary depending on the individual and the severity of the condition 3.
  • The studies focus on the management and treatment of acute myocardial infarction, including the use of aspirin, thrombolytic agents, beta-blockers, and other medications to reduce mortality and alleviate symptoms 2, 4, 5, 6.
  • It is also noted that the perception and severity of chest pain can be influenced by psychological and psychiatric factors, such as depression and panic disorder 3.
  • While the exact duration of pain caused by a myocardial infarction is not specified, it is clear that prompt medical attention and treatment are crucial to reducing the risk of complications and improving outcomes 3, 4, 5, 6.

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Chest pain of cardiac and noncardiac origin.

Metabolism: clinical and experimental, 2010

Research

Acute Coronary Syndrome: Management.

FP essentials, 2020

Research

Emergency management of acute myocardial infarction. Focus on pharmacologic therapy.

Emergency medicine clinics of North America, 1998

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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