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Xiphodynia masking acute myocardial infarction: a diagnostic cul-de-sac

W Koren1, A Shahar

  • 1Department of Emergency Medicine, Chaim Sheba Medical Center, Sackler School of Medicine, Tel Hashomer, Israel.

A 52-year-old hypertensive woman is described in whom a clinically evident diagnosis of xiphodynia, the painful xiphoid process, complicated the diagnosis of impending myocardial infarction. The authors suggest that xiphodynia be considered a second-line assumption after more dangerous conditions have been thoroughly ruled out.

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