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Related Experiment Videos

Phantom angina

W R Martin1, A Margherita, E Amsterdam

  • 1Department of Internal Medicine, University of California, School of Medicine, Davis.

Chest
|April 1, 1994
PubMed
Summary
This summary is machine-generated.

Phantom limb pain can be a symptom of underlying heart disease. This case study shows how treating coronary artery disease resolved phantom limb pain and chest pain in a patient.

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Area of Science:

  • Cardiology
  • Neurology
  • Pain Medicine

Background:

  • Phantom limb pain (PLP) is a complex neurological condition often requiring multidisciplinary management.
  • Unusual presentations of PLP necessitate comprehensive diagnostic approaches to rule out referred pain sources.
  • Cardiac ischemia can manifest with atypical symptoms, including referred pain to amputated limbs.

Observation:

  • A 49-year-old male with an above-elbow amputation presented with phantom limb pain and exertional chest pain.
  • Diagnostic evaluation revealed exercise-induced S-T segment depression, indicative of myocardial ischemia.
  • Coronary angiography confirmed severe three-vessel coronary artery disease.

Findings:

  • Coronary artery bypass graft surgery successfully treated the patient's coronary artery disease.

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  • Post-surgery, the patient experienced complete resolution of anginal symptoms and phantom limb pain.
  • Objective evidence of exercise-induced myocardial ischemia was abolished following revascularization.
  • Implications:

    • This case highlights that myocardial ischemia can present as phantom limb pain mimicking angina.
    • It underscores the importance of considering cardiac etiologies in patients with atypical phantom limb pain.
    • Thorough cardiovascular evaluation is crucial for patients with unusual phantom pain features and concurrent exertional symptoms.