title: Heparin therapy for mistaken cardiac diagnosis in Boerhaave's syndrome.
abstract: We describe two patients with Boerhaave's syndrome who presented with chest pain mimicking cardiac pain and received heparin therapy. One patient developed large intramural esophageal hematoma as a complication of heparin therapy. The other patient had no hematoma and his course was dominated by esophageal rupture. Both were managed conservatively.
authors.affiliation: Division of Gastroenterology, P D Hinduja National Hospital, Veer Savarkar Marg, Mumbai 400 016.
authors.forename: Harin
authors.initials: H
authors.lastname: Vyas
authors.forename: Devendra
authors.initials: D
authors.lastname: Desal
authors.forename: Philip
authors.initials: P
authors.lastname: Abraham
authors.forename: Anand
authors.initials: A
authors.lastname: Joshi
mesh_terms: D000368:Aged; D003937:Diagnosis, Differential; D004935:Esophageal Diseases / Q000175:diagnosis*; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000139:chemically induced*; D006493:Heparin / Q000009:adverse effects* / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis* / Q000188:drug therapy; D011655:Pulmonary Embolism / Q000175:diagnosis* / Q000188:drug therapy; D018570:Risk Assessment; D012422:Rupture, Spontaneous / Q000175:diagnosis; D013577:Syndrome
chemical_list: D006493:Heparin