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Many organs in the body have very few specific pain receptors (nociceptors). Because the heart has very few or no nociceptors, the brain has a difficult time interpreting irritation as pain. The nerves from your heart join with other organs from the general area and follows the same nerve pathways to your spinal cord then to your brain. En route, surrounding visceral (organ) neurons are stimulated. This creates a sensation of generalized discomfort commonly interpreted as pressure or a dull ache to the generalized area, typically the left arm and neck. Often, a myocardial infarction (heart attack) can occur with no pain symptoms at all, and patients only display weakness, shortness of breath, nausea, diaphresis (sweating), pallor, and heart palpitations. This is called a silent myocardial infarction. It occurs predominately in older people, diabetics, females, and people of African descent.

Brock, MICP.

6 years EMS experience

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13y ago
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13y ago

Typically, the pain radiates to the left shoulder. This is because the heart was in that location during an early stage of fetal development, and the brain still interprets the heart as being connected to the left shoulder. It's one of the oddities of human Biology.

Answer #2

It may radiate to surrounding areas, specifically Left arm and Left jaw. In some cases, there maybe NOpain at all

Many organs in the body have very few specific pain receptors (nociceptors). Because the heart has very few or no nociceptors, the brain has a difficult time interpreting irritation as pain. The nerves from your heart join with other organs from the general area and follows the same nerve pathways to your spinal cord then to your brain. En route, surrounding visceral (organ) neurons are stimulated. This creates a sensation of generalized discomfort commonly interpreted as pressure or a dull ache to the generalized area, typically the left arm and neck. Often, a myocardial infarction (heart attack) can occur with no pain symptoms at all, and patients only display weakness, shortness of breath, nausea, diaphresis (sweating), pallor, and heart palpitations. This is called a silent myocardial infarction. It occurs predominately in older people, diabetics, females, and people of African descent.

Brock, MICP.

6 years EMS experience

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Q: Where does pain radiate when about to have a heart attack?
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