Which symptom cluster is more characteristic of myocardial infarction in women?

• A. Shortness of breath with mild chest discomfort
• B. Headache and dizziness
• C. Nausea, vomiting, indigestion, back pain
• D. Severe angina, shoulder pain, numbness down the arm

Answer: (C)

In women, myocardial infarction often presents with nonclassic symptoms rather than the stereotypical crushing chest pain. Nausea, vomiting, indigestion, and back pain reflect this atypical pattern and are more characteristic of MI in women. These symptoms can occur with ischemia and may be mistaken for gastrointestinal issues, which can delay diagnosis if not considered. While shortness of breath with mild chest discomfort, headaches and dizziness, or the classic severe angina with arm radiation can occur, the GI and back symptom cluster best captures how MI tends to present in women.