Acute Myocardial Infarction Diagnosed in Patient Who Visited Outpatient Department of Internal Medicine with Chief Complaint of Vomiting
10.2185/jjrm.64.860
- VernacularTitle:嘔吐を主訴に内科外来受診し急性心筋梗塞と診断した1例
- Author:
Takahiro SAKAMOTO
;
Hikaru KIMURA
;
Yoshikazu YAZAKI
- Publication Type:Journal Article
- From:Journal of the Japanese Association of Rural Medicine
2016;64(5):860-863
- CountryJapan
- Language:Japanese
-
Abstract:
Acute coronary syndrome is a typical life-threatening condition. Nevertheless, 1-8% of patients rushed to the emergency outpatient unit are sent home. One of the reasons for that is the absence of pain in a minority of myocardial infarction cases. It is said that 25% of the patients with acute coronary syndrome visit hospitals without complaining of chest pain, and about 1% of the patients complaining of nausea and vomiting only. In this paper, we present a case diagnosed as anteroseptal myocardial infarction at the outpatient department of internal medicine. The patient had symptoms of queasy feeling and vomiting. Coronary artery bypass grafting was indicated. We examined the case, focusing on the diagnostics with bibliographical consideration. Acute coronary syndrome cannot be ruled out in the elderly, even if they have fewer risk factors. In cases like the present one, when no other accessory symptoms are noted, the condition should be considered in the differential diagnosis. We believe that this will prevent life-threatening acute coronary syndrome from being overlooked.
