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Ami acute myocardial infarction heart attack occurs when blood flow to the heart muscle is abruptly cut off SD segment elevation in ECG symptoms chest pain that spreads to the shoulder arm back neck jaw teeth or sometimes the upper belly cold sweat fatigue heartburn or indigestion lightheadedness or sudden dizziness nausea shortness of breath treatment is anti-platelet drugs and ecoagulants nitrates beta blockers statins and reperfusion therapy