Progressive Care Nursing Certification (PCCN) Practice Exam

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What is typically the primary symptom of myocardial ischemia?

  1. sharp chest pain

  2. discomfort described as pressure or tightness

  3. radiating pain to the jaw

  4. shortness of breath

The correct answer is: discomfort described as pressure or tightness

The primary symptom of myocardial ischemia is often discomfort that is described as pressure or tightness in the chest. This sensation may be similar to a heavy weight pressing down, and it can be caused by reduced blood flow to the heart muscle. The discomfort typically arises during physical activity or emotional stress when the heart's demand for oxygen exceeds the supply. While sharp chest pain, radiating pain to the jaw, and shortness of breath can be associated with myocardial ischemia or other cardiac events, they are not the hallmark symptom. The classic presentation of pressure or tightness is crucial in distinguishing myocardial ischemia from other conditions. Recognizing this primary symptom can assist healthcare providers in effectively diagnosing and managing patients experiencing ischemic heart disease.

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