A deceptive gut feeling

We report the case of a 58 year old man with unspecific lower abdominal pain, respiratory failure and shock. An acute aortic syndrome and a massive pulmonary embolism were excluded, and a coronary angiography for suspected acute myocardial infarction was performed, with detection of a high-grade ste...

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Bibliographic Details
Published in:	Praxis (Bern. 1994) Vol. 102; no. 15; p. 933
Main Authors:	Müggler, Simon A, von Babo, Michelle, Iseli, Sarah M, Reho, Ivano, Giambarba, Christian
Format:	Journal Article
Language:	German
Published:	Switzerland 24-07-2013
Subjects:	Abdominal Pain - etiology Angioplasty, Balloon, Coronary Coronary Angiography Diagnosis, Differential Dyspnea - etiology Humans Male Middle Aged Myocardial Infarction - diagnosis Myocardial Infarction - therapy Respiratory Insufficiency - etiology Shock, Cardiogenic - diagnosis Shock, Cardiogenic - therapy Stents
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Summary:	We report the case of a 58 year old man with unspecific lower abdominal pain, respiratory failure and shock. An acute aortic syndrome and a massive pulmonary embolism were excluded, and a coronary angiography for suspected acute myocardial infarction was performed, with detection of a high-grade stenosis of the left main coronary artery. A percutaneous coronary intervention was needed. We discuss the difficulty to distinguish an acute aortic syndrome, an acute coronary syndrome, and a massive pulmonary embolism in the emergency situation. In addition we discuss the difficulty of detecting a left main coronary artery stenosis in the ECG.
ISSN:	1661-8157
DOI:	10.1024/1661-8157/a001370