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The presentation is not very typical.
However, in a setting of known CAD and bypass surgery
, any pain should be investigated as HEART PAIN – UNLESS PROVED OTHERWISE.
In suspected heart attack
, TIME IS OF THE ESSENCE – if detected early, an attack may even be aborted / the amount of damage and complications can be reduced remarkably.
The most important time is the first few hours.
You MUST GO THE EMERGENCY DEPARTMENT - IMMEDIATELY
Better be safe than sorry - treated if a problem is found / Happy, if it turns out otherwise
Wishing speedy recovery