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Colegio de Medicina Interna de México.

2016, Number 4

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Med Int Mex 2016; 32 (4)

Assessment of chest pain

Domínguez-Moreno R, Bahena-López E, Neach-De la Vega D, Venegas- Román A, Cerda-Contreras E, López-Ponce A, Sánchez-Zavala J

Language: Spanish
References: 52
Page: 461-474
PDF size: 565.99 Kb.


ABSTRACT

The prevalence of chest pain is variable, ischemic heart disease is one of the most frequent causes with high morbidity and mortality. This paper reports the case of a 21-year-old male, who started five days earlier with malaise, hyporexia, nausea and diarrhea of 2-3 times a day without mucus and blood and not associated with food intake. Subsequently sense of gastroesophageal reflux and chest pain were added, so we suspected gastrointestinal etiology; however, during his evolution in hospital, patient cursed with fever, oppressive chest pain and tachycardia; so, acute myocarditis was diagnosed. Patient was discharged after five days because clinical improvement, without presenting any complications or sequelae. It is important to assess in a timely manner causes threatening life, especially ischemic heart disease. It is important to do a proper medical history, physical examination and support studies in search of the etiology. If ischemic heart disease is suspected, risk should be stratified in order to install adequate and timely therapy.


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