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This week I had a bit of a migraine headache at the back of my head.I felt very rundown,and a bit nauseous.The migraine pain went but I felt very tired and weak.Yesterday I've done a lot because I was feeling more energetic,including exercise.Same day at night I was feeling very tired I had a kind of pressure on both shoulders and felt again weak and nauseous.I panicked thinking perhaps these are the signs of a heart attack.My blood pressure was 160/89 pulse 99(normally 125/78 pulse 75).I felt very nervous and kept thinking perhaps I'm having one.I went to bed slept all night and today I still felt run down,but no pain in shoulders.My question is,could have been a silent heart attack?Can you have a heart attack if blood test OK Cholesterol levels etc..Went to a cardiologist 4 months ago he had done test(ecg,heart scan,stress test and he said everything was fine,only my heartbeat went up quite fast(I was experiencing a bit of a panic attack at the time)

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replied March 1st, 2010
Heart Disease and Heart Attack Answer A10356
Hi and welcome to the forum! I am glad that I can help you.

You would like to know what the symptoms of a heart attack are.

Heart attack is condition when there is interruption of the blood supply to part of the heart, which causes heart cells to die. Risk factors for heart attack are increased blood pressure, hyperlipidemia (increased fats in blood; cholesterol and tryglycerides), diabetes melitus, physical and psychological stress, etc. Individuals usually experience chest pain located under the sternum or in the left side of the rib cage, usually described as heaviness or pressure. The pain may radiate towards the left shoulder and arm, and jaws. This pain may be accompanied with palpitations (a sensation of hearing our heartbeat), sweating, weakness, etc. The pain may appear when exerting oneself or while at rest. If the pain lasts longer than 30 minutes and in the same time doesn't respond to the usual medical treatment for angina pectoris, than it is considered that the individual is experiencing a heart attack.

Given the data that you described, it is not likely that you experienced a heart attack. The pain that you experienced may be due to the increased pressure and the tachycardia. You may consider having an ECG to rule out any heart attack.

Please keep in mind that I provide medical information only. I am not able to diagnose medical conditions online. Please contact your doctor for further advice and information about diagnosis and treatment options for heart attack.

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