title: "Cardiac otalgia": acute coronary syndrome masquerading as bilateral ear pain.
abstract: Patients presenting with acute coronary syndromes are classically described as having chest pressure with radiation to the left arm. However, pain can be referred to multiple sites including the face, the neck, the abdomen and the contra-lateral arm. We present a case of sudden bilateral ear pain as the sole presentation of acute coronary syndrome in an elderly man. The importance of recognizing these atypical presentations is vital, as outcomes may be worsened as appropriate therapy may be delayed or misdirected.
authors.affiliation: Department of Cardiovascular Diseases, The University of Tolodo Medical Center, OH 43614, USA.
authors.forename: Mujeeb
authors.initials: M
authors.lastname: Sheikh
authors.forename: Satjit
authors.initials: S
authors.lastname: Adlakha
authors.forename: Mangeet
authors.initials: M
authors.lastname: Chahal
authors.forename: Steven
authors.initials: S
authors.lastname: Bruhl
authors.forename: Utpal
authors.initials: U
authors.lastname: Pandya
authors.forename: Bilal
authors.initials: B
authors.lastname: Saeed
mesh_terms: D054058:Acute Coronary Syndrome / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D000369:Aged, 80 and over; D057210:Delayed Diagnosis; D004433:Earache / Q000209:etiology* / Q000628:therapy; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D010166:Palliative Care; D016896:Treatment Outcome