Some people who have myocardial ischemia don't have any signs or symptoms (silent ischemia). When they do occur, the most common is chest pressure or pain, typically on the left side of the body (angina pectoris). Other signs and symptoms — which might be experienced more commonly by women, older people and people with diabetes — include: 
Neck or jaw pain
Shoulder or arm pain
A fast heartbeat
Shortness of breath when you are physically active
Nausea and vomiting
Sweating
Fatigue
