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the signs and symptoms of an Ami should begin with chest or upper body discomfort angena can be in the chest it can radiate to one or both shoulders into one or both arms it can radiate up into the throat neck or jaw area it can radiate into the back this chest or upper body discomfort can be dull sharp pressure burning tightness or squeeze it is not usually associated with respiration Associated symptoms include dnia or shortness of breath diaphoresis nausea vomiting dizziness weakness or poor all healthcare workers should be careful not to pre-diagnostic with a muscular skeletal GI or pulmonary problem before obtaining the initial 12kg remember that even a physician cannot rule out cardiac problems until they get the initial EKG and finally the American College of Cardiology recommends that anyone over the age of 30 experiencing pain above the navl should receive an immediate 12 dkg if a person is diabetic and experiencing chest pain the ages dropped to 20 this is just an indicator o