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Anders Stochholm1, Brian Bridal Løgstrup2
1Aarhus University Hospital, Aarhus, Denmark Department of Cardiology, Aarhus University Hospital, Aarhus N, Denmark.
Insights
A patient presenting with chest pain and ST elevation myocardial infarction (STEMI) underwent successful coronary angioplasty. However, persistent abdominal pain led to an unexpected diagnosis via bedside ultrasound.
Area of Science:
- Cardiology
- Diagnostic Imaging
Background:
- ST-segment elevation myocardial infarction (STEMI) is a critical cardiac emergency.
- Abdominal pain can sometimes mimic or coexist with cardiac symptoms.
Abstract:
We report a case of a 68-year-old man who was admitted to the department of cardiology with increasing abdominal and chest pain during the day. The prehospital ECG showed clear ST segment elevation in inferior leads. The patient was routed directly to the catheterisation laboratory with acute myocardial infarction as a tentative diagnosis. The coronary angiography showed an occluded right coronary artery that was reopened with a plain old balloon angioplasty procedure. After the procedure, the patient was expected to feel better, but the abdominal pain worsened. The following bedside ultrasound examination was quite surprising.
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