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the signs and symptoms of an ami should begin with chest or upper body discomfort angina 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 squeezing it is not usually associated with respiration associated symptoms include dyspnea or shortness of breath diaphoresis nausea vomiting dizziness weakness or power all health care workers should be careful not to pre-diagnose these patients with a musculoskeletal gi or pulmonary problem before obtaining the initial 12 lead ekg 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 navel should receive an immediate 12-lead ekg if a person is diabetic and experiencing chest pain the ages drop to 2
