Which classic sign of an acute myocardial infarction (AMI) can be absent when an older male adult is seen with an AMI?

a. Vague complaints
b. Epigastric burning
c. Crushing chest pain
d. Dyspnea and fatigue


C

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A Incorrect. Older adults with an AMI are seen with vague complaints such as fa-tigue, weakness, and dyspnea.
B Incorrect. Older adults with an AMI are seen with atypical complaints such as epigastric burning or pain.
C Correct. Older adults are often seen with less specific clinical indicators of an AMI. Traditionally, older adults who are having an AMI first manifest subster-nal chest pain described as chest tightness or pressure, crushing chest pain, or pain that radiates to the left shoulder, arm, or jaw.
D Incorrect. Older adults with an AMI are seen with vague complaints such as fa-tigue, weakness, and dyspnea.

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