Symptoms of myocardial ischemia in women

Myocardial ischemic symptoms can be typical or atypical in female patients, and typical symptoms can be manifested as angina pectoris, myocardial infarction, and other types. For typical symptoms, they often occur on the basis of previous medical history, such as hypertension, hyperlipidemia and hyperglycemia, producing atherosclerosis. Patients with angina pectoris may experience a fist-sized or palm-sized range of dull, crushing-like pain and discomfort in the anterior region of the lower and middle sternum under exercise, severe mood swings, etc., usually lasting 1-5 minutes and up to 15 minutes, with symptoms mostly relieved by rest or nitroglycerin. In patients with myocardial infarction, the symptoms are usually severe and long-lasting, and cannot be relieved by rest or nitroglycerin, and are accompanied by nausea, vomiting, and cold sweats. In women, atypical symptoms of myocardial ischemia can also occur, commonly in patients with cardiac neurosis, who can present with pinpoint pain, which can be wandering pain, often with no obvious organic lesion characteristics on system-related examinations.