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When the heart is not able to pump enough blood for the needs of the body and the blood pressure falls, it is known as cardiogenic shock. Most important cause of cardiogenic shock is a heartattack. Devices like an intra-aortic balloon pump and left ventricular assist device may be useful to some extent.
First degree AV block can sometimes be a manifestation of diseases like rheumatic fever, a disease which affects predominantly the joints and the valves of the heart. First degree heart block can also occur in a heartattack involving the lower part of the heart known as inferior wall myocardial infarction.
Pain of a heartattack occurs in a similar location as effort angina but is more severe. Chest pain may be associated with undue sweating, anxiety and sometimes undue awareness of heart beats known as palpitation. Chest pain of heartattack is not relieved by rest unlike effort angina.
They are more prone to have heartattack and stroke (brain attack), due to disease of their blood vessels. Another important serious disease which has to be thought of in a person with pain in the chest or upper back is aortic dissection. Aortic dissection is tear in the inner lining of the aorta.
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