Volume : 09, Issue : 09, September – 2022
Title:
06.CHRONIC ISCHEMIA IN LEFT ANTERIOR DESCENDING ARTERY TERRITORY PRESENTING AS INTRACTABLE HICCUPS: AN UNUSUAL SYMPTOM OF CORONARY ARTERY DISEASE
Authors :
Shahsawar, Habib SA, Adnan khan
Abstract :
A 48-year-old male presented to us with history of retrosternal chest pain for 6 hours duration associated with diaphoresis and dyspnea. His initial ECG showed acute anterior wall myocardial infarction. He underwent successful primary PCI to the LAD with a drug eluting stent. He had a past history of hypertension and family history of premature CAD. He was on ramipril 5 mg tablet for hypertension.
Conclusion is that cardiologists should have a low threshold for ischemic heart disease diagnosis and workup in patients who present with hiccups especially if they have multiple risk factors for ischemic heart disease. Our patient had hypertension and family history of premature CAD.
Cite This Article:
Please cite this article in press Shahsawar et al, Chronic Ischemia In Left Anterior Descending Artery Territory Presenting As Intractable Hiccups: An Unusual Symptom Of Coronary Artery Disease., Indo Am. J. P. Sci, 2022; 09(9).
Number of Downloads : 10
References:
1. De Hoyos A, Esparza EA, Cervantes-Sodi M. Non-erosive reflux disease manifested exclusively by protracted hiccups. Journal of neurogastroenterology and motility. 2010 Oct;16(4):424.
2. Fass R, Higa L, Kodner A, Mayer EA. Stimulus and site specific induction of hiccups in the oesophagus of normal subjects. Gut. 1997 Nov 1;41(5):590-3.
3. Cajoto V. Hiccup: review of 24 cases. Revista Medica de Chile. 2007 Sep 1;135(9):1132-8.
4. Redondo-Cerezo E, Viñuelas-Chicano M, Pérez-Vigara G, Gómez-Ruiz CJ, Sánchez-Manjavacas N, Jimeno-Ayllon C, Pérez-Sola A. A patient with persistent hiccups and gastro-oesophageal reflux disease. Gut. 2008 Jun 1;57(6):763-.
5. Gao H, Zhang B, Song L, Yao S, Zhang Z, Bai M. Acute proximal left anterior descending thrombosis manifested by persistent hiccups: A case report. Medicine. 2019 Nov;98(48).
6. Shaikh N, Raj R, Movva S, Mattina C. Persistent hiccups as the only presenting symptom of ST elevation myocardial infarction. Case reports in cardiology. 2018 Mar 11;2018.
7. Zhang F, Tongo ND, Hastings V, Kanzali P, Zhu Z, Chadow H, Rafii SE. ST-segment elevation myocardial infarction with acute stent thrombosis presenting as intractable hiccups: an unusual case. The American journal of case reports. 2017;18:467.
8. Krysiak W, Szabowski S, Stepień M, Krzywkowska K, Krzywkowski A, Marciniak P. Hiccups as a myocardial ischemia symptom. Polskie Archiwum Medycyny Wewnetrznej. 2008 Mar 1;118(3):148-51.