Inferior ST-Elevation Myocardial Infarction (STEMI) Presenting as Left Otalgia: A Case Report
Simon B Bactawar1, Airada D Bactawar1, Carlos Gaibor2
1Internal Medicine, University of Kentucky, Bowling Green, USA.
Cureus
|June 8, 2026
Summary
Diabetic patients may experience atypical heart attack symptoms, like ear pain, due to neuropathy. This case highlights left otalgia as a rare but critical warning sign for myocardial infarction in diabetics.
Area of Science:
- Cardiology
- Neurology
Background:
- Diabetic populations are prone to silent or atypical myocardial ischemia due to neuropathy affecting cardiac sympathetic pathways.
- Blunted pain signals in diabetics can be rerouted via the auricular branch of the vagus nerve (Arnold's nerve), causing referred pain.
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