Hiatal hernia mimicking ST elevation myocardial infarction.
A 72-year-old man with a history of hypertension, hiatal hernia, prostate cancer and lung cancer was admitted with complaints of abdominal pain, sweating and rigors. An electrocardiogram showed ST elevation in multiple leads. Noninvasive and invasive cardiovascular work-up was performed that was negative for occlusive coronary artery disease. Further studies demonstrated a large hiatal hernia; this was found to be the culprit causing his symptoms. Hiatal hernia is a very rare cause of ST segment elevation and should be considered in the differential diagnosis of disorders that can cause ST elevation.
Department of Cardiology, University of Illinois College of Medicine, Peoria, Ill., USA.
Karthiek
K
Narala
Sandeep
S
Banga
Mark
M
Hsu
Sudhir
S
Mungee
D000368:Aged; D017023:Coronary Angiography; D003937:Diagnosis, Differential; D004384:Duodenoscopy; D004452:Echocardiography; D004562:Electrocardiography; D004945:Esophagoscopy; D006551:Hernia, Hiatal / Q000175:diagnosis*; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000175:diagnosis*; D013277:Stomach Volvulus / Q000175:diagnosis; D014057:Tomography, X-Ray Computed