Arm pain is not usually a "predisoposition" to having a heart attack. Rather, arm pain may be an accompanying symptom of someone who is having coronary ischemia (which may fall in the spectrum of a heart attack). Isolated arm pain can be caused by a number of different conditions and "usually" is not an indicator of a heart attack unless it is accompanied by chest discomfort, shortness of breath, nausea/vomiting, and/or profuse sweating. However, arm pain may be an important symptom in someone who has a previous history of coronary artery disease, has multiple risk factors (hypertension, diabetes, smoking, dyslipidemia, family history of heart disease) and/or has had similar symptoms during a previous heart attack.
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