Mora-Constantino J, Baca-Prieto E, Harrison-Gómez C, Sánchez-Lezama F, Domínguez-Gasca LG

Language: Spanish
References: 10
Page: 203-206
PDF size: 182.31 Kb.

ABSTRACT

In patients with acute chest pain syndrome, the primary requirement is to diagnose or exclude acute myocardial ischemia or myocardial infarction; only 30% of patients admitted and evaluated for chest pain ultimately reveal the diagnosis of acute coronary syndrome; the initial evaluation of patients presenting chest discomfort or pain to an emergency department or any general practice involves the triad of history, physical examination, and ECG. With the diagnostic routine of enzymatic tests for cardiac biomarkers, it has become easier to identify acute coronary syndromes, but when the chest pain is not of cardiac origin, the challenge begins, because the spectrum of the differential diagnosis is very broad, encompassing vascular, pulmonary, musculoskeletal and gastrointestinal disorders and also somatization problems that should be excluded. When a patient presented to the Hospital “Dr. Ángeles León” with chest pain in whom coronary syndrome was ruled out, and which came to an unusual diagnosis as a cause of chest pain, we decided to report the case.

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