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Phantom Arm Pain and Tinnitus in a Patient with ST-Segment Elevation Myocardial Infarction: A Case Report
John Porter1, Chad P Liedl2, Kevin P Steever2
1Mayo Clinic, Cardiac Catheterization Laboratory, Rochester, Minnesota.
Introduction:
We present the case of a patient with the unusual occurrence of phantom arm pain and an acute exacerbation of chronic tinnitus during an ST-segment elevation myocardial infarction (STEMI).
Case Report:
A 56-year-old man was having several classic symptoms associated with acute coronary syndrome, along with perceived pain in an arm lost years earlier in a traumatic accident and a sudden worsening of his chronic tinnitus. Emergency medical services responded and diagnosed a STEMI on scene. A 100% occlusion of his right coronary artery was rapidly identified in the hospital and treated with the deployment of two drug-eluting stents. After the procedure his symptoms resolved. He was discharged without incident two days later.
Conclusion:
Whereas arm pain is a well-documented presenting symptom of acute coronary syndrome, phantom limb pain and exacerbation of tinnitus have been rarely reported in the literature.
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