AI Article Synopsis
- A 62-year-old woman exhibited unusual cardiac symptoms, feeling a sensation of laryngeal obstruction, which was initially misdiagnosed as laryngopharyngitis.
- After being discharged, she returned to the hospital with concerning ECG results and elevated troponin levels, leading to a diagnosis of STEMI.
- Despite treatment, she suffered from heart failure and cardiogenic shock, ultimately resulting in her death, highlighting the need for clinicians to consider myocardial infarction in patients with unexplained laryngeal symptoms.
Article Abstract
A rare case of a 62-year-old woman with an atypical cardiac symptom of sensation of laryngeal obstruction as a manifestation of acute coronary syndrome is described. Initially, the patient showed unremarkable test results and was diagnosed with laryngopharyngitis and discharged from hospital. However, 24 hours later she returned to the hospital with an abnormal electrocardiogram (ECG) and elevated blood troponin levels and was diagnosed with ST-segment elevation myocardial infarction (STEMI). She developed heart failure, cardiogenic shock and died. Clinicians should be aware that patients with an unexplained sensation of laryngeal obstruction should be considered for the presence of MI within their differential diagnosis since this may be the only symptom in some patients with life-threatening cardiac ischemia.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8150416 | PMC |
| http://dx.doi.org/10.1177/03000605211013191 | DOI Listing |
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