Can you have heart attack without chest pain?
Yes, this is possible. In certain instances you may have heart attack without chest pain. In some patients, particularly in the elderly, myocardial infarction (heart attack) is manifested clinically not by chest pain but rather by symptoms of breathlessness, vomiting tendency, profuse sweating and severe weakness. So, if an old man suddenly develops breathing difficulty or sweating or sudden onset of weakness, the possibility of heart attack requires to be excluded. Unrecognized or silent myocardial infarction (heart attack) occurs more commonly in patients with diabetes. Sudden onset of breathlessness or severe weakness in a diabetic patient is alarming and it requires thorough heart check up.