Pseudo-myocardial Infarction Pattern with Lax Esophageal hiatus with Severe Erosive Gastritis and Normal Coronary Vessels: a Case Report

Autor:	Deshpande Sg, Malani Rg, Talib Sh, Majjari Kc, V A Mannikar
Rok vydání:	2014
Předmět:	medicine.medical_specialty Esophageal hiatus business.industry ST elevation Emergency department medicine.disease Epigastric pain medicine.anatomical_structure Throat Internal medicine Troponin I medicine Cardiology Myocardial infarction Exertion business
Zdroj:	IOSR Journal of Dental and Medical Sciences. 13:32-34
ISSN:	2279-0853 2279-0861
DOI:	10.9790/0853-13413234
Popis:	The case is presented of a 20 year old male who attended the emergency department with sudden onset of chocking discomfort in the throat & vague epigastric pain following a brief history of shortness of breath on exertion. Patient had no history of Ischemic heart disease. A routine electro-cardiograph (EKG) demonstrated an ST elevation in V1 to V4 with Q waves in II, III, and AVF consistent with acute myocardial infarction. Troponin I at admission & 12 hours later were normal (8.2 ng/ml). CT coronary angiography was reported normal. EKG changes compatible with Acute Myocardial Infarction have been reported with a number of non-cardiac manifestations. To our knowledge, it has never been reported in relation to lax esophageal hiatus with severe erosive gastritis. Possible mechanisms of Pseudo-myocardial Infarct & its importance is discussed.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::b3c45e60ed2080537a5496c7beca3182 https://doi.org/10.9790/0853-13413234 Zobrazit plný text záznamu