Boerhaave Syndrome Mimicking Acute Coronary Syndrome.
| Autor: | Schalet R; Department of Medicine, George Washington University, Washington, DC., Carro Cruz F; Division of Gastroenterology and Liver Diseases, Department of Medicine, The George Washington University School of Medicine and Health Sciences, Washington, DC., Berezowski I; Department of Medicine, George Washington University, Washington, DC., Adams-Mardi C; Department of Medicine, George Washington University, Washington, DC., Haile H; Department of Medicine, George Washington University, Washington, DC., Schueler SA; Division of Gastroenterology and Liver Diseases, Department of Medicine, The George Washington University School of Medicine and Health Sciences, Washington, DC., Borum ML; Division of Gastroenterology and Liver Diseases, Department of Medicine, The George Washington University School of Medicine and Health Sciences, Washington, DC. |
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| Jazyk: | angličtina |
| Zdroj: | ACG case reports journal [ACG Case Rep J] 2024 Aug 22; Vol. 11 (8), pp. e01453. Date of Electronic Publication: 2024 Aug 22 (Print Publication: 2024). |
| DOI: | 10.14309/crj.0000000000001453 |
| Abstrakt: | Boerhaave syndrome, an esophageal perforation due to increased intraesophageal pressure, may mimic other cardiovascular conditions including acute coronary syndrome. In this report, we present a case of a 63-year-old man who presented with chest pain and ischemic electrocardiogram abnormalities, prompting an initial diagnosis of ST elevation myocardial infarction. After coronary stenting, the patient continued to have chest pain, ST segment elevations, and newly elevated cardiac enzymes. A computed tomography scan showed esophageal perforation, requiring endoscopic stenting. This case underscores the diagnostic and therapeutic challenges of Boerhaave syndrome and the importance of considering this condition in adults with chest pain and ischemic electrocardiogram changes. (© 2024 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology.) |
| Databáze: | MEDLINE |
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