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Is it possible to have a heart attack with normal vitals?
I currently am having chest pain which radiates to the upper back between the shoulder blades. I feel the discomfort during inspirations and expirations with slight dizziness. However when i take my blood pressure, it shows 138 over 82 with heart beats per minute at 64. I do cadiovascular exercise three to four days a week for about an hour and sometimes more. I do smoke cigarettes, about 20 per three to four days. Is it possible to have a heart attack with normal vitals? should i rush to an emergency room?

L_H Qutub(Retired)

This pain may indicate that your heart is not getting enough oxygen. If the symptoms are happening in the absence of physical exertion, or shortly after meals, you could have a serious heart attack waiting just around the corner. This may not be an emergency, but it could be, log off the computer and have someone drive you to the ER.

If you are still uncertain, look at this description of 'unstable angina' in the link:

sharon w
Recent studies done at UTM showed that only 1 out of 5 patients presented to the ER having text book symptoms of heart attack,radiating chest pain,substernal pressure and pain,difficult breathing,cold sweaty skin etc.The condition is called "silent heart attack"or "coronary syndrome".I would dump the cigarettes ,and if the chest pain continues,I'd get myself to the ER.Take care. SW RNP

It is definitely possible to have an M.I. while having normal vital signs,smoking cigarettes can precipitate a heart attack.Seems you are developing a possible cardiac problem .You should stop smoking immediately and see a doctor as soon as possible.If the pain between shoulder blades continues and you can't get to a doctor,I would say proceed to the ER.
Good health and good luck

I would say that it is posible. Your symptoms sound alot like angina.
But that said, the causes of heart attack are not limited to pulmonary artery blockage (which could present as high blood pressure). Heart muscle weakness (smoking), dameged valve/s or heart muscle wall damage caould all present that way.

Im not a doctor but thats how I see it...

Good luck

Your blood pressure is a little high. If you are a smoker, the chest pains might be caused by something brewing in your lungs. Don't waste time and get checked out by your doctor.

you might be doing too much ,,you could have a trapped nerve in the back as my husband thought he was having a heart attack and it was a nerve ,,,mixed with a pulled muscle ,,,but it wouldnt hurt to be looked at ,better safe than sorry ,,,at least then you will know what you have done ,i wish you well but keep calm ,rest,,see o doc ,and go from there .all the best ,,kat

Ms. Smarty
well stop smoking first of all-that can produces effects which include chest pain and wheezing. if you're experiencing severe pain for more than 20 min, I think you should consider going to the doc...feel better!

It is absolutely possible to have a heart attack with normal vital signs. You should either call 911 (or your local area's ambulance number) or have someone drive you to the emergency room ASAP.
I've seen people in having obvious cardiac pain, and they had a normal blood pressure and heart rate. You may or may not be having a heart attack, but there's no way of knowing simply by checking a blood pressure and pulse.

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