Volume 6, Issue 4, July 2018, Page: 56-60
Acute Chest Pain in a 70-Year-Old Woman at CNHU-HKM Cotonou: Morbid Association or Diagnostic Wandering
Philippe Mahouna Adjagba, Department of Cardiology, Teaching Hospital of Cotonou, Abomey-Calavi University, Cotonou, Benin
Murielle Hounkponou, Department of Cardiology, Teaching Hospital of Cotonou, Abomey-Calavi University, Cotonou, Benin
Arnaud Sonou, Department of Cardiology, Teaching Hospital of Ouémé and Plateau, Abomey-Calavi University, Porto-Novo, Benin
Kouessi Anthelme Agbodandé, Department of Internal Medicine, Teaching Hospital of Cotonou, Abomey-Calavi University, Cotonou, Benin
Salimatou Assani Moutaïrou, Department of Cardiology, Teaching Hospital of Cotonou, Abomey-Calavi University, Cotonou, Benin
Rosaire Bognon, Department of Cardiology, Teaching Hospital of Cotonou, Abomey-Calavi University, Cotonou, Benin; Department of Cardiovascular Rehabilitation and Secondary Prevention, Hospital Center Sud Francilien, Paris, France
Ikram Akinocho, Department of Cardiology, Teaching Hospital of Cotonou, Abomey-Calavi University, Cotonou, Benin; Department of Cardiovascular Rehabilitation and Secondary Prevention, Hospital Center Sud Francilien, Paris, France
Yessoufou Tchabi, Department of Cardiology, Teaching Hospital of Cotonou, Abomey-Calavi University, Cotonou, Benin
Martin Dèdonougbo Houénassi, Department of Cardiology, Teaching Hospital of Cotonou, Abomey-Calavi University, Cotonou, Benin
Received: Jun. 4, 2018;       Accepted: Jun. 28, 2018;       Published: Jul. 21, 2018
DOI: 10.11648/j.ajim.20180604.12      View  617      Downloads  31
Abstract
Objectives: Challenging differential diagnosis. Background: Acute myopericarditis and ACS STEMI share the presenting triad of acute chest pain, ST segment changes, and elevated cardiac enzymes. Differentiating is not always straightforward. Case Report: We reported the clinical observation of a 70-year-old woman admitted into cardiology intensive care for acute chest pain with electrocardiographic abnormalities suggestive of acute coronary syndrome with ST elevation (ACS STEMI). Pharmacological myocardial revascularization was done. Secondary evolution in the absence of initial coronary angiography is compatible with a myopericarditis of favorable evolution under empiric antibiotherapy. Coronarography performed remotely reveals a significant stenosis of the proximal and middle circumflex. Percutaneous angioplasty was successfully performed. Conclusion: In patients with acute chest pain, ST segment changes and elevated cardiac enzymes, coronary angiography can be useful in differential diagnosis.
Keywords
Chest Pain, Acute Coronary Syndrome, Myopericarditis, Angioplasty
To cite this article
Philippe Mahouna Adjagba, Murielle Hounkponou, Arnaud Sonou, Kouessi Anthelme Agbodandé, Salimatou Assani Moutaïrou, Rosaire Bognon, Ikram Akinocho, Yessoufou Tchabi, Martin Dèdonougbo Houénassi, Acute Chest Pain in a 70-Year-Old Woman at CNHU-HKM Cotonou: Morbid Association or Diagnostic Wandering, American Journal of Internal Medicine. Vol. 6, No. 4, 2018, pp. 56-60. doi: 10.11648/j.ajim.20180604.12
Copyright
Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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