Diarrhea as Atypical Symptom of Acute Myocardial Infarction
Al- Anbar Medical Journal,
2019, Volume 15, Issue 2, Pages 48-50
AbstractAcute myocardial infarction (AMI) is commonly known to be presented with chest pain, radiatedto the left arm, neck or jaw. However, many cases were documented to be presented with atypicalsymptoms. One of the rarest presentations of AMI is diarrhea. We were reporting a case of a55-year gentleman who was complaining of diarrhea without chest pain, found to have an inferiormyocardial infarction (MI) by routine ECG. No, any other cardiac symptoms were found. Thishighlights that diarrhea can be the only presenting symptom of acute MI which likely to be missed.The importance of knowing the presenting symptom of AMI will help a lot in giving the bestmanagement to the patient during the golden hours of the hospital arrival, which might be life-saving.
D. Parharidou, and I. Styliadis. Acute myocardial infarc-
tion manifested with headache.Open Cardiovasc. Med.
J., 4:148, 2010.
 K. N. Chowta, P. D. Prijith, and M. N. Chowta. Modes
of presentation of acute myocardial infarction.Indian J
Crit Care Med, 9(3):151–154, 2005.
 J. G. Canto et al.Prevalence, clinical characteristics,
and mortality among patients with myocardial infarction
presenting without chest pain.Jama, 283(24):3223–3229,
 E. M. Antman. Acute myocardial infarction in: Braun-
wald e, zipes d, libby p, eds.Hear. Dis. Ed A Textb.
Cardiovasc. Med. Philadelphia WB Saunders Co., pages
 E. M. Antman. Time is muscle: translation into practice.
J. Am. Coll. Cardiol., 52(15):1216–1221, 2008.
 M. Schreeder and J. Hardison.Chezonisus and defeca-
tion:symptoms of acute myocardial infarction.Ann.
Intern. Med., 84(4):447, 1976.
 J. Chaim and T. Rosenthal.Diarrhoea and urgency
to defaecate in acute myocardial infarction.Lancet,
 S. W. Webb, A. A. J. Adgey, and J. F. Pantridge. Au-
tonomic disturbance at onset of acute myocardial infarc-
tion.Br Med J, 3(5818):89–92, 1972
- Article View: 38
- PDF Download: 9