title: Atypical myocardial infarction on a cruise ship.
abstract: A previously asymptomatic 44-year-old male crewmember on a cruise ship experienced several brief episodes of acute chest pain within a short time frame. He was ultimately diagnosed with myocardial infarction; 5 h earlier he had been discharged from the ship's medical centre after almost 8 h of monitoring to rule-out infarction. Subsequent angiography ashore revealed a 99% occlusion of the right coronary artery. This case highlights the dangers of over-reliance on shipboard cardiac enzyme testing to clear a patient with chest pain.
authors: Independent Contractor Cruise Ship Physician, Mansfield, Nottinghamshire, England. taylorcj@doctors.org.uk.
authors: Christopher
authors: C
authors: Taylor
mesh_terms: D000328:Adult; D002637:Chest Pain / Q000209:etiology*; D004562:Electrocardiography; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000150:complications / Q000175:diagnosis*; D009326:Naval Medicine; D009784:Occupational Diseases / Q000150:complications / Q000175:diagnosis*