Levine's sign indicates what symptom?

• A. Hand clenched over chest indicates chest pain.
• B. Shaking the leg.
• C. Finger tapping the wrist.
• D. Nodding in rhythm with breath.

Answer: (A)

Levine's sign is a clinical cue that points to chest pain, typically from cardiac ischemia. It shows up when a person clutches the chest with a clenched fist and presses it over the sternum. This instinctive gesture reflects how painful and protective chest pain from a heart issue can feel, and it helps caregivers recognize potential myocardial ischemia even if the patient can’t fully describe the symptoms. The other movements described don’t specifically signal cardiac chest pain: shaking a leg, finger tapping the wrist, or nodding in time with breathing are not recognized indicators of a heart-related issue and are more associated with restlessness, anxiety, or breathing patterns rather than a chest-pain sign.