Myocardial Infarction

Dictionary Meaning -

(according to Dorland's pocket medical Dictionary)

Myocardial - Pertaining To The Muscular Tissue Of The Heart.

Infarction - 1. The Formation Of An Infarct.
                  2. Infarct.

Acute Myocardial Infarction (AMI) - That Occurring During The Period When Circulation To A Region Of The Heart Is Obstructed And Necrosis Is Occurring.

Cardiac Infarction - Myocardial Infarction.

Cerebral Infarction - An Ischemic Condition Of The Brain, Causing A Persistent Focal Neurologic Deficit In The Area Affected.

Mesenteric Infarction - Coagulation Necrosis Of The Intestines Due To A Decrease In Blood Flow In The Mesenteric Vasculature.

Migrainous Infarction - A Focal Neurologic Defect That Constituted Part Of A Migrainous Aura But That Has Persisted For A Long Period And May Be Permanent.

Myocardial Infarction (MI) - Gross Necrosis Of The Myocardium, Due To Interruption Of The Blood Supply To The Area.

non-Q Wave Infarction - Myocardial Infarction Not Characterized By Abnormal Q Waves.

Pulmonary Infarction - Localized Necrosis Of Lung Tissue, Due To Obstruction Of The Arterial Blood Supply.

Q Wave Infarction - Myocardial Infarction Characterized By Q Waves That Are Abnormal Either In Character Or Number Or Both.

Silent Myocardial Infarction - Myocardial Infarction Occurring Without Pain Or Other Symptoms; Often Detected Only By Electro Graphic Or Post Mortem Examination.

Watershed Infarction - Cerebral Infarction In A Watershed Area During A Time Of Prolonged Systemic Hypotension.

Pathological Point Of View -

• Myocardial Infarction (MI; Latin: infarctus myocardii) Or Acute Myocardial Infarction (AMI) Is The Medical Term For An Event Commonly Known As A Heart Attack. 

• An MI Occurs When Blood Stops Flowing Properly To A Part Of The Heart, And The Heart Muscle Is Injured Because It Is Not Receiving Enough Oxygen. 

• Usually This Is Because One Of The Coronary Arteries That Supplies Blood To The Heart Develops A Blockage Due To An Unstable Buildup Of White Blood Cells, Cholesterol And Fat. 

• The Event Is Called "Acute" If It Is Sudden And Serious.

A Person Having An Acute MI Usually Has Sudden Chest Pain That Is Felt Behind The Sternum And Sometimes Travels To The Left Arm Or The Left Side Of The Neck. 

Additionally, The Person May Have Shortness Of Breath, Sweating, Nausea, Vomiting, Abnormal Heartbeats, And Anxiety. 

Women Experience Fewer Of These Symptoms Than Men, But Usually Have Shortness Of Breath, Weakness, A Feeling Of Indigestion, And Fatigue.

In Many Cases, In Some Estimates As High As 64%, The Person Does Not Have Chest Pain Or Other Symptoms. These Are Called "Silent" Myocardial Infarctions.

Diagram Of A Myocardial Infarction (2) Of The Tip Of The Anterior Wall Of The Heart (An Apical Infarct) After Occlusion (1) Of A Branch Of The Left Coronary Artery (LCA). In The Diagram, RCA Is The Right Coronary Artery.










Rough diagram of pain zones in myocardial infarction; dark red: most typical area, light red: other possible areas; view of the chest

For More Details :-

• http://en.wikipedia.org/wiki/Myocardial_infarction

Signs & Symptoms :-

Pathophysiology :-

Animation Showing Pathophysiology Of Myocardial Infarction
 

Management :-

Pre-hospital management

• Arrange An Emergency Ambulance If An AMI Is Suspected. Take An Electrocardiogram (ECG) As Soon As Possible, But Do Not Delay Transfer To Hospital, As An ECG Is Only Of Value In Pre-Hospital Management If Pre-Hospital Thrombolysis Is Being Considered.

• Advise Any Patient Known To Have Ischaemic Heart Disease To Call For An Emergency Ambulance If The Chest Pain Is Unresponsive To Glyceryl Trinitrate (GTN) And Has Been Present For Longer Than 15 Minutes Or On The Basis Of General Clinical State - eg, Severe Dyspnoea Or Pain.

• Cardiopulmonary Resuscitation And Defibrillation In The Event Of A Cardiac Arrest.

• Oxygen: Do Not Routinely Administer Oxygen, But Monitor Oxygen Saturation Using Pulse Oximetry As Soon As Possible, Ideally Before Hospital Admission. Only Offer Supplemental Oxygen To:
  • People With Oxygen Saturation Less Than 94% Who Are Not At Risk Of Hypercapnic Respiratory Failure, Aiming For Saturation Of 94-98%.
  • People With Chronic Obstructive Pulmonary Disease Who Are At Risk Of Hypercapnic Respiratory Failure, To Achieve A Target Saturation Of 88-92% Until Blood Gas Analysis Is Available.
• Pain Relief With GTN Sublingual/Spray And/Or An Intravenous Opioid 2.5-5 mg Diamorphine Or 5-10 mg Morphine Intravenously With An Anti-Emetic. Avoid Intramuscular Injections, As Absorption Is Unreliable And The Injection Site May Bleed If The Patient Later Receives Thrombolytic Therapy.

• Aspirin 300 mg Orally (Dispersible Or Chewed).

• Insert A Venflon® For Intravenous Access And Take Blood Tests For FBC, Renal Function And Electrolytes, Glucose, Lipids, Clotting Screen, C-Reactive Protein (CRP) And Cardiac Enzymes (Troponin I Or T).

• Pre-Hospital Thrombolysis Is Indicated If The Time From The Initial Call To Arrival At Hospital Is Likely To Be Over 30 Minutes. The National Institute for Health and Clinical Excellence (NICE) Recommends Using Intravenous Bolus (Reteplase Or Tenecteplase) Rather Than An Infusion For Pre-Hospital Thrombolysis.

Management initiated in hospital

• If Not already done, insert a Venflon® for intravenous access and take blood tests for cardiac enzymes (troponin I or T), FBC, renal function and electrolytes, glucose, lipids, CRP, and clotting screen (see separate article Acute Myocardial Infarction for more detailed discussion of investigations).

• Continue close clinical monitoring (including symptoms, pulse, blood pressure, heart rhythm and oxygen saturation by pulse oximetry), oxygen therapy and pain relief.

• ECG monitoring: features that increase the likelihood of infarction are: new ST-segment elevation; new Q waves; any ST-segment elevation; new conduction defect. Other features of ischaemia are ST-segment depression and T-wave inversion.

Reperfusion

• Primary percutaneous coronary intervention (PCI)

• Facilitated PCI

• Rescue PCI

• Fibrinolytic drugs

• Antithrombotic therapy without reperfusion therapy

• Coronary bypass surgery

For More Details :-

• http://www.patient.co.uk/doctor/acute-myocardial-infarction-management

Homoeopathic Treatment :-

" One Single Simple Drug Substance In Its Most Suitable Potency, According To Symptom Similarity Based On Totality! "

In Case Of Myocardial Infarction, List Of Useful Remedies (According To REPERTORY

by Oscar E. BOERICKE, M.D.) Are As Below-

ARTERIES

Atheroma of arteries (arteriosclerosis) (See Interstitial Nephritis.) -- Adren., Am. iod., Am. vanad., Ant. ars., Arn., Ars., Ars. iod., Aur. iod., Aur., Aur. m. n., Bar. c., Bar. m., Cact., Calc. fl., Chin. s., Con., Crat., Ergotin, Glon., Iodothyr., Kali iod., Kali sal., Lach., Lith. c., Nat. iod., Phos., Plumb. iod., Plumb. m., Polygon. av., Sec., Stront. c., Stront. iod., Stroph., Sumb., Vanad.

Circulation, sluggish (See Heart.) -- Æth., Calc. c., Calc. p., Carbo an., Carbo v., Cim., Cinnam., Ferr. p., Gels., Led., Nat. m., Rhus t., Sil.

Congestion of blood (local) -- Acon., Æsc., Ambra, Amyl, Aur., Bell., Cact., Calc. c., Centaur., Cupr. m., Ferr. m., Ferr. p., Gadus mor., Glon., Kali iod., Lil. t., Lonic., Meli., Millef., Phos.,Sang., Sep., Sil., Spong., Stellar., Sul., Ver. v.

Degeneration, fatty (See Heart.) -- Phos.

HEART

ACTION TUMULTUOUS, violent, labored (See Pulse.) -- Abies c., Absinth., Acon., Æsc., Agar., Ammon., Amyl, Ars., Aur., Bell., Bry., Cact., Carb. ac., Cim., Colch., Conv., Ephedra, Gels., Glon., Helod., Iberis, Kal., Lil t., Lycop., Nat. m., Physost., Prun. sp., Pyr., Spig., Spong., Ver. v.

AFFECTIONS (See Separate Diseases of Heart.) -- Acon., Adon. v., Am. c., Am. m., Amyl, Apoc., Arn., Ars. iod., Ars., Aur. m., Aur. mur., Bar. c., Bell., Benz. ac., Bry., Cact., Calc. ars., Calc. fl., Carbo v., Cim., Cinch., Coca, Colch., Collins., Conv., Coronilla, Crat., Crot., Digitaline, Dig., Ferr. m., Fer. p., Gels., Glon., Grind., Hydroc. ac., Iberis, Ign., Iod., Kali c., Kali chlor., Kal., Lach., Laur., Lepid., Lil. t., Lith. c., Lycop., Merc. c., Mosch, Naja, Nat. iod., Nat. m., Nux v., Ox. ac., Phaseol., Phos., Piloc., Scilla, Spart., Spig., Spong., Stroph., Strych., Sumb., Thyr., Val., Ver. v.

Rheumatic -- Acon., Aur., Benz. ac., Bry., Cact., Caust., Cim., Colch., Ign., Kal., Led., Lith. c., Lycop., Naja., Phyt., Rhus t., Spig., Ver. v.

With hæmorrhoids -- Cact., Collins., Dig.

CYANOSIS -- Acetan., Am. c., Ant. ars., Ant. t., Ars., Benz. nit., Carbo an., Carbo v., Crot., Cupr., Dig., Hydroc. ac., Lach., Laur., Lycop., Merc. cy., Nat. nit., Phos., Piloc., Psor., Rhus t., Samb., Tab., Zinc. m.

DEBILITY, weakness -- Acetan., Acet. ac., Adon v., Adren., Am. c., Am. m., Ant. ars., Ars., Ars. iod., Aur., Cact., Calc. ars., Camph., Carb. ac., Carbo. v., Chin. ars., Cinch., Conv.,Crat., Dig., Diosc., Eel serum., Euphorbia., Ferr., Grind., Helod., Hydroc. ac., Iberis, Kali c., Kal., Lach., Lil. t., Lycop., Morph., Mosch., Nerium, Nit. ac., Nux m., Phaseol., Plumb., Prun. sp., Psor., Pyr., Sarcol. ac., Scilla, Spart., Spig., Stroph., Tab., Thyr., Ver. a.

Muscular, "heart failure" -- Adon v., Adren., Agaricin, Alcohol., Amyl, Ant. t., Atrop., Caffeine, Camphorated oil, Cocaine, Conv., Crat., Digitaline, Dig., Ether, Glon., Oxygen inhalation, Sacchar. of., Saline infusion, Serum ang., Spart., Stroph., Strych. s., Ver. a.

Nervous -- Adren, Cact., Iberis, Ign., Lil. t., Lith. c., Mosch., Naja, Piloc., Prun. v., Spart., Spig., Tab., Val.

Dropsy, With (See Generalities.) -- Acetan, Adon. v., Apoc., Ars. iod., Ars., Asclep. syr., Cact., Caffeine, Collins., Conv., Dig., Iberis., Lach., Lycop., Oleand., Scilla, Spart., Stroph.

DEGENERATION, fatty -- Adon æst., Adon v., Arn., Ars. iod., Ars., Aur., Bar c., Cim., Crat., Cupr. ac., Fucus, Kali c., Kali feroc., Kal., Phos. ac., Phos., Physost., Phyt., Sacchar. of., Stroph., Strych. ars., Strych. p., Vanad.

PAIN -- Abies n., Acon., Adon. v., Amyl, Apis, Arn., Ars., Aster., Bry., Cact., Calc. fl., Canth., Cereus., Cereus serp., Cim., Coff., Colch., Conv., Crat., Daphne, Dig., Diosc., Ferr. tart.,Hematox., Hydroc. ac., Iberis, Kal., Lach., Latrod., Lepid., Lil. t., Lith. c., Lob. infl., Lycop., Magnol., Med., Naja, Onosm., Ox. ac., Ov. g. p., Paœnia, Pip. nig., Ptel., Spig., Spong., Stroph., Syph., Tab., Ther., Thyr., Ver. v., Zinc. v.

Apex, At -- Lil. t.
Base, At -- Lob. infl.
Constricting, as if squeezed in vise -- Acon., Adon. v., Amyl, Arn., Ars., Cact., Cadm. s., Calc. ars., Coccus, Colch., Iodof., Iod., Kali c., Lach., Laur., Lil. t., Lycop., Mag. p., Magnol., Nux m., Ptel., Spong., Thyr.Neuralgic

ANGINA PECTORIS -- Acon., Adren., Amyl, Arg. cy., Arg. n., Arn., Ars. iod., Ars., Aur. mur., Bism., Cact., Camph., Cereus, Chin. ars., Cim., Cocaine, Conv., Crat., Crot.,Cupr. ac., Cupr. m., Dig., Diosc., Glon., Hæmatox., Hydroc. ac., Kali c., Kali iod., Kal., Latrod., Lil. t., Lith. c., Lob. infl., Mag. p., Magnol., Morph., Naja, Nat. iod., Nat. nit., Nux v., Oleand., Ox. ac., Phos., Phyt., Pip. nig., Prun. sp., Samb., Spart., Spig., Spong., Staph., Stront. c., Stront. iod., Tab., Thyr., Ver. v., Zinc. v.

Abuse of coffee, From -- Coff.

Abuse of stimulants, From -- Nux v., Spig.

Muscular origin, [From] -- Cupr., Hydroc. ac.

Organic heart disease [From] -- Ars. iod., Cact., Calc. fl., Crat., Kal., Nat. iod., Stront. iod., Tab.

Rheumatism [From] -- Cim., Lith. c.

Straining, overlifting [From] -- Arn., Carbo an., Caust.

Tobacco [From] -- Kal., Lil. t., Nux v., Spig., Staph., Tab.

Pseudo-angina pectoris (See Pain.) -- Aconitine, Cact., Lil. t., Mosch., Nux v., Tar. h.

Præcordial oppression, anxiety, heaviness -- Acon., Adon. v., Adren., Æsc., Agar., Am. c., Amyl, Apis, Ars., Ars. iod., Aspar., Aur., Brom., Bry., Cact., Calc. ars., Calc. c., Camph., Carbo v., Cereus, Cim., Colch., Collins., Cotyled., Crat., Cupr., Dig., Diosc., Ferr., Glon., Hematox., Hydroc. ac., Iberis, Ign., Iod., Ipec., Kal., Lach., Latrod., Laur., Lil t., Lith. c., Lycop., Magnol., Menyanth., Naja, Nat. ars., Primula v., Puls., Sapon., Spig., Spong., Tab., Thea, Thyr., Vanad., Ver. v.

Shooting

Down left shoulder, arm to fingers -- Acon., Arn., Asper., Bism., Cact., Cim., Crot., Kal., Latrod., Lepid., Naja, Ox. ac., Rhus t., Spig., Tab.

From apex to base -- Med.

From base to apex at night -- Syph.

From back to clavicle, shoulder -- Spig.

Lancinating, tearing (See Neuralgia.) -- Ars., Bell., Cact., Cereus, Cim., Colch., Daphne, Glon., Iberis, Kal., Latrod., Lil. t., Lith. c., Magnol., Menthol, Ox. ac., Pæonia, Phyt.,Spig., Syph., Tab.

Stitching, cutting -- Abies n., Acon., Anac., Ars., Asclep. t., Bry., Cact., Can. ind., Caust., Cereus, Dig., Iberis, Kali c., Kali n., Lith. c., Naja, Spig.

PALPITATION -- Abies c., Acon., Adon. v., Agar., Agaricine, Amyl, Apis, Arg. n., Ars., Asaf., Aur. m., Aur. mur., Bar. c., Bell., Cact., Calc. ars., Calc. c., Camph., Canth., Can. ind., Carbo v., Chin. ars., Cim., Cinch., Coca., Cocc., Coff., Colch., Con., Conv., Crat., Cupr., Digitaline, Dig., Fagop., Ferrum, Ferr. p., Gels., Glon., Hydr., Hydroc. ac., Iberis, Ign., Iod., Kali c., Kali ferr. cy., Kal., Lach., Laur., Lil t., Lob. infl., Lycop., Mosch., Naja, Nat. m., Nerium, Nux m., Nux v., Oleand., Ol. j. as., Ox. ac., Phaseol., Phos. ac., Phos., Plat., Puls., Pyr., Sec., Sep., Spig.,Spong., Sul., Sumb., Tab., Thea, Thyr., Val., Ver. v., Zinc.

CAUSE

Anæmia, vital drains -- Ars., Cinch., Dig., Ferr. red., Kali c., Kali ferrocy., Nat. m., Phos. ac., Phos., Puls., Spig., Ver. a.

Children, growing too fast -- Phos ac.

Dyspepsia -- Abies c., Abies n., Arg. n., Cact., Carbo v., Cinch., Coca, Coff., Collins., Diosc., Hydroc. ac., Lyc., Nux v., Puls., Prun. v., Sep., Spig., Tab.

Emotional causes -- Acon., Ambra, Am. val., Anac., Cact., Calc. ars., Cham., Coff., Gels., Hydroc. ac., Ign., Iod., Lach., Lith. c., Mosch., Nux m., Nux v., Op., Plat., Sep., Tar. h.

Eruption suppressed -- Calc. c.

Exertion, even slightest -- Bell., Brom., Cim., Coca., Conv., Dig., Iberis, Iod., Nat. m., Sarcol. ac., Thyr.

Grief -- Ign., Phos. ac.

Heart-strain -- Arn., Bor., Caust., Coca.

Nervous irritation -- Atrop., Cact., Coff., Glon., Hydroc. ac., Hyos., Ign., Kali c., Kali p., Lil. t., Lycop., Mag. p., Mosch., Naja, Sep., Spig., Sumb.

Prolonged brain work, sexual excesses -- Coca.

Tea drinking -- Cinch.

Tobacco -- Agar., Ars., Cact., Gels., Nux v., Stroph.

Uterine disease -- Conv., Lil. t.

Worms -- Spig.

CONCOMITANTS

Anguish, restlessness -- Acon., Æth., Ars., Calc. c., Coff., Ign., Lach., Nat. m., Phaseol., Phos., Puls., Sapon., Spig., Spong., Ver. a., Zinc. m.

Burning at heart -- Kali c.

Choking in throat -- Iberis, Lach., Naja.

Dim vision -- Puls.

Dyspnea -- Am. c., Cact., Dig., Glon., Glycerin, Lach., Oleand., Naja, Ox. ac., Phos., Spig., Spong., Ver. a., Zinc. m.

Face red -- Agar., Aur., Bell., Glon.

Fainting -- Acon., Cham., Lach., Nat. m., Nux m., Petrol., Tab

Fetor oris -- Spig.

Flatulence -- Arg. n., Cact., Carbo v., Nux v.

Headache -- Æth., Bell., Lith. c.

Heart-labored, reverberates in head -- Aur., Bell., Glon., Spig., Spong

Heart weak -- Coca, Dig

Hot feeling, uncomfortable -- Ant. t., Calc. c., Kali c, Petrol

Pain, præcordial -- Acon., Ars., Cact., Cham., Caust., Coff., Hydroc. ac., Laur., Mag m., Naja, Spig., Spong.

Piles or suppressed menses alternating -- Collins

Sleeplessness -- Cim., Coca., Ign., Spig.

Stomach, heavy feeling in -- Upas.

Stomach, sinking in -- Cim.

Tinnitus, mental depression, anorexia, chest oppression -- Coca

Trembling -- Asaf., Lach., Rhus t., Sul. ac.

Urination copious -- Coff.

Uterine soreness -- Conv.

Vertigo -- Adon. v., Æth., Cact., Coronilla, Iberis, Spig.

Weakness, empty feeling in chest -- Oleand

AGGRAVATION

Eating, After -- Calc. c., Lil. t., Lyc., Nat. m., Nux v., Puls

Menses, At approach of -- Cact., Crot., Spong.

Night, At -- Ars., Cact., Calc. c., Iberis, Ign., Lil. t. Lyc. Nat. m., Phos., Tab

Sleep, During -- Alston., Am. c., Can. ind., Iberis. Phos. ac., Spong.

Least motion [From] -- Acon., Bell., Cact., Calc. ars., Cim., Dig., Ferr., Iberis., Lil t., Nat. m., Spig.

Lying down [From] -- Ars., Kali c., Lach., Lil. t., Nat. m., Nux v., Sep., Spig., Thyr.

Lying on left side [From] -- Bar. c., Cact., Lac. c., Lach., Lyc., Nat. m., Phos., Puls., Tab., Thea.

Lying on right side [From] -- Alumen, Arg. n.

Mental exertion [From] -- Calc. ars.

Rising [From] -- Cact.

Sitting [From] -- Mag. m., Phos., Rhus t.

Sitting bent forward [From] -- Kal.

Stooping forward [From] -- Spig.

Thinking of it [From] -- Bar. c., Gels., Ox ac.

Morning on waking, In -- Kali c., Nux v.

AMELIORATION

Lying on right side -- Lac c., Tab

Motion -- Ferr. m., Gels., Mag. m.

PULSE

Full, round, bounding, strong, felt all over -- Acon., Æsc., Am. m., Amyl., Antipyr., Arn., Aur., Bar. c., Bell., Bry., Cact., Calc. c., Canth., Coff., Cupr., Fagop., Ferr m., Glon.,Iod., Lil. t., Lycop., Onosm., Op., Physost., Piloc., Poth., Puls., Sab.

Intermittent -- Acon., Apoc., Bapt., Cact., Carbo v., Cinch., Colch., Conv., Crat., Dig., Ferr. mur., Iberis, Ign., Kali c., Kal., Lil. t., Lycop., Merc. c., Merc. cy., Nat. m., Nux m., Phos. ac., Pip. nig., Rhus t., Sec., Sep., Spig., Stroph., Tab., Tereb., Thea, Ver. a., Ver. v., Zinc. m.

Every third to seventh beat -- Dig., Mur. ac.

Irregular -- Acetan., Acon., Adon. v., Adren., Agaricine, Antipyr., Apoc., Arn., Ars., Ars. iod., Aur., Bell., Cact., Caffeine, Camph., Cim., Cinch., Conv., Crat., Dig., Eel serum, Ferr. m., Gels., Glon., Hydroc. ac., Iberis, Ign., Kali c., Kal., Lach., Laur., Lil. t., Lycop., Mur. ac., Naja, Nat. m., Nux m., Phaseol., Phos. ac., Pi. oc., Puls., Rhus t., Sang., Sec., Serum ang.,Spart., Spig., Stroph., Strych. ars., Strych. p., Sumb., Tab., Thea, Ver. a., Ver. v., Zinc. m.

Rapid (tachycardia) (See Weak.) -- Abies n., Acon., Adon. v., Adren., Agn., Am. val., Ant. ars., Ant. c., Ant. t., Antipyr., Apoc., Arn., Ars. iod., Bell., Bry., Cact., Canth., Carbo v., Coff., Colch., Collins., Conv., Crat., Dig., Diph., Eel serum, Ferr. p., Gels., Glon., Iberis, Kal., Kali chlor., Lach., Latrod., Led., Lil. t., Lycop., Merc. c., Morph., Mur. ac., Naja, Nat. m., Phaseol., Phos., Phyt., Piloc., Pyr., Rhod., Rhus t., Sec., Sep., Spong., Stroph., Strych. p., Tab., Tereb., Thea, Thyr., Ver. a., Ver. v.

Morning, In -- Ars., Sul.

Out of all proportion to temperature -- Lil. t., Pyr.

Slow (brachycardia) (See Weak.) -- Abies n., Adon. v., Adren., Æsc., Apoc., Cact., Camph., Can. ind., Canth., Caust., Colch., Cupr., Dig., Eserine, Gels., Helod., Helleb., Kal., Latrod.,Lupul., Lycopers., Morph., Myr., Naja, Op., Pip. nig., Rhus t., Spig., Tab., Ver. a., Ver. v.

Alternating with rapid -- Cinch., Dig., Gels., Iod., Morph.

Soft, compressible (See Weak.) -- Acal., Ars., Bapt., Caffeine, Conv., Ferr. m., Ferr. p., Gels., Kali c., Phos., Plumb., Ver. a., Ver. v.

Weak, fluttering, almost imperceptible -- Acetan., Acon., Adon. v., Adren., Æth., Agarcine, Ail., Am. m., Ant. ars., Ant. t., Apis, Arn., Ars., Ars. iod., Aur., Aspar., Bar. m., Cact.,Caffeine, Camph., Carb. ac., Carbo v., Cim., Colch., Collins., Conv., Crat., Crot., Dig., Diph., Eel serum, Ferr. m., Gels., Hydroc. ac., Hysocin. hydrobr., Iod., Kali c., Kali chlor., Kali n., Kal., Lach., Latrod., Laur., Lycop., Merc. c., Merc. cy., Morph., Mur. ac., Naja, Op., Ox. ac., Phaseol., Phos. ac., Phos., Physost., Plumb., Pyr., Rhus t., Sang., Sapon., Sec., Spart.,Spig., Sul., Tab., Tereb., Thyr., Ver. a., Ver. v., Viscum, Zinc. m.

SENSATIONS

Drops were falling from heart, As if -- Can. s.

Burning, As if Heart were -- Kali c., Op., Tar. h.

Ceasing its beat, As if Heart were -- Antipyr., Chin. ars., Cim., Crat., Dig., Lob. infl., Phaseol., Trifol.

Then started suddenly -- Aur., Conv., Lil. t., Sep.

When moving about, must keep still -- Cocaine, Dig.

When resting, must move about -- Gels., Trifol.

Cold, as if Heart were -- Calc. c., Carbo an., Graph., Helod., Kali bich., Kali m., Kali n., Lil. t., Nat. m., Petrol.

Fluttering, as if Heart were (See Palpitation.) -- Absinth., Acon., Amyl, Apoc., Asaf., Cact., Cim., Conv., Crot., Ferr., Glon., Iberis, Kal., Lach., Lil. t., Lith. c., Mosch., Naja, Nat. m., Nux m., Phaseol., Phos. ac., Physost., Pyr., Spig., Sul. ac., Thea.

Purring, as if Heart were -- Pyr., Spig.

Squeezed by iron hand, as if Heart were -- Arn., Cact., Iod., Lil t., Sul., Vanad., Viscum.

Suspended by thread, as if Heart were -- Kali c., Lach.

Too full, bursting, as if Heart were -- Æsc., Amyl, Aur. m., Bell., Bufo., Cact., Cenchris, Collins., Conv., Glon., Glycerin, Iberis, Lact., Lil t., Pyr., Spig., Stroph., Sul., Vanad.

Tired, as if Heart were -- Pyr.

Twisted, as if Heart were -- Lach., Tar. h.

Soreness, tenderness of heart -- Arn., Cact., Camph., Gels., Hematox., Lith. c., Lycop., Naja, Sec., Spig.

For Detail Study Of Above Mentioned Individual Remedy From HOMŒOPATHIC MATERIA MEDICA by William BOERICKE, M.D.:-

•  http://www.homeoint.org/books/boericmm/

Our Next Topic Is "Emergency Cases In General".

I Need Your Help For More Precise Work........You Can Submit Your Work At ktthebest4u@gmail.com  ; Last Day Of Submission Will Be Saturday, 13/8/2014.

Take Care Of Your Body,

It's The Only Place You Have To Live In.

With Best Regards, Karnav Thakkar :) :)