ST-Segment Elevation Myocardial Infarction with Acute Stent Thrombosis Presenting as Intractable Hiccups: An Unusual Case
| Autor: | Ziqiang Zhu, Nosakhare Douglas Tongo, Hal L. Chadow, Shahrokh E. Rafii, Fan Zhang, Victoria Hastings, Parisa Kanzali |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Acute coronary syndrome Heart disease medicine.medical_treatment Myocardial Infarction 030204 cardiovascular system & hematology Hiccup Cocaine-Related Disorders 03 medical and health sciences Percutaneous Coronary Intervention 0302 clinical medicine Cocaine Coronary thrombosis Internal medicine Angioplasty Humans Medicine 030212 general & internal medicine Myocardial infarction business.industry Coronary Thrombosis Stent Percutaneous coronary intervention Articles General Medicine Middle Aged medicine.disease Anesthesia Cardiology ST Elevation Myocardial Infarction Stents medicine.symptom business Hiccups |
| Zdroj: | The American Journal of Case Reports |
| ISSN: | 1941-5923 |
| DOI: | 10.12659/ajcr.903345 |
| Popis: | Patient: Male, 51 Final Diagnosis: ST-segment elevation myocardial infarction with acute stent thrombosis Symptoms: Chest pain • hiccups Medication: — Clinical Procedure: — Specialty: Cardiology Objective: Unusual clinical course Background: Acute coronary syndrome (ACS) can present with atypical chest pain or symptoms not attributed to heart disease, such as indigestion. Hiccups, a benign and self-limited condition, can become persistent or intractable with overlooked underlying etiology. There are various causes of protracted hiccups, including metabolic abnormalities, psychogenic disorders, malignancy, central nervous system pathology, medications, pulmonary disorders, or gastrointestinal etiologies. It is rarely attributed to cardiac disease. Case Report: We report a case of intractable hiccups in a 51-year-old male with cocaine related myocardial infarction (MI) before and after stent placement. Coronary angiogram showed in-stent thrombosis of the initial intervention. Following thrombectomy, balloon angioplasty, and stent, the patient recovered well without additional episodes of hiccups. Although hiccups are not known to present with a predilection for a particular cause of myocardial ischemia, this case may additionally be explained by the sympathomimetic effects of cocaine, which lead to vasoconstriction of coronary arteries. Conclusions: Hiccups associated with cardiac enzyme elevation and EKG ST-segment elevation before and after percutaneous coronary intervention (PCI) maybe a manifestation of acute MI with or without stent. The fact that this patient was a cocaine user may have contributed to the unique presentation. |
| Databáze: | OpenAIRE |
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