title: Xiphodynia Mimicking Acute Coronary Syndrome.
abstract: A 79-year-old man with diabetes and partial gastrectomy visited our hospital due to gradually worsening epigastric pain on exertion. Unstable angina was suspected and coronary angiography was performed, which revealed severe stenosis of the left ascending artery. Despite successful intervention, the pain persisted. A careful physical examination finally revealed the point of tenderness on the xiphoid process, and the patient was diagnosed with xiphodynia. The severe epigastric pain resolved immediately after xiphoidectomy. This case demonstrates that symptoms of xiphodynia may mimic those of various types of disorders, such as angina, and that careful palpation is warranted during routine physical examinations.
authors.affiliation: Division of Cardiovascular Medicine, Kanazawa University Graduate School of Medicine, Japan.
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Tanaka
authors.forename: Kenji
authors.initials: K
authors.lastname: Sakata
authors.forename: Yohei
authors.initials: Y
authors.lastname: Waseda
authors.forename: Takashi
authors.initials: T
authors.lastname: Fujimura
authors.forename: Keisuke
authors.initials: K
authors.lastname: Yamada
authors.forename: Takeru
authors.initials: T
authors.lastname: Oyama
authors.forename: Masa-Aki
authors.initials: MA
authors.lastname: Kawashiri
authors.forename: Masakazu
authors.initials: M
authors.lastname: Yamagishi
mesh_terms: D054058:Acute Coronary Syndrome / Q000000981:diagnostic imaging* / Q000628:therapy; D000368:Aged; D017023:Coronary Angiography; D003937:Diagnosis, Differential; D005743:Gastrectomy; D006801:Humans; D008297:Male; D010146:Pain / Q000209:etiology*; D062645:Percutaneous Coronary Intervention; D016896:Treatment Outcome; D014989:Xiphoid Bone / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*