Acute coronary syndrome in young patients with atypical symptoms
Evaluation of acute chest pain can be extremely difficult and challenging. This diagnosis comprehends several causes, including benign and potentially lethal causes. Most of the time, the diagnosis can be done with the history and ordinary tests such as electrocardiogram, chest x-ray and myocardial...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
University of São Paulo
2011-03-01
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| Series: | Autopsy and Case Reports |
| Subjects: | |
| Online Access: | http://www.revistas.usp.br/autopsy/article/view/36412 |
| _version_ | 1818340102096551936 |
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| author | Gustavo Daher Henrique Lane Staniak Márcio Sommer Bittencourt Rodolfo Sharovsky |
| author_facet | Gustavo Daher Henrique Lane Staniak Márcio Sommer Bittencourt Rodolfo Sharovsky |
| author_sort | Gustavo Daher |
| collection | DOAJ |
| description | Evaluation of acute chest pain can be extremely difficult and challenging. This diagnosis comprehends several causes, including benign and potentially lethal causes.
Most of the time, the diagnosis can be done with the history and ordinary tests such as electrocardiogram, chest x-ray and myocardial enzymes. The coronary angiotomography is a new tool that can safely rule out acute coronary syndrome, being
performed in patients with low to middle probability of acute coronary syndrome.
The present report describes a young woman that presented to the emergency unit with atypical chest pain and myocardial enzyme elevation. Miocarditis was the initial diagnosis
The patient was submited to a coronary angiotomography with late enhancement research. The coronary angiotomography demonstrated zero calcium score with a high degree stenosis in the coronary descending artery and late enhancement in
anterior wall demonstrating myocardial necrosis. It was performed coronary catheterization and angioplasty afterwards. |
| first_indexed | 2024-12-13T15:37:33Z |
| format | Article |
| id | doaj.art-313994fbc68447bd93ad1a246b31255c |
| institution | Directory Open Access Journal |
| issn | 2236-1960 |
| language | English |
| last_indexed | 2024-12-13T15:37:33Z |
| publishDate | 2011-03-01 |
| publisher | University of São Paulo |
| record_format | Article |
| series | Autopsy and Case Reports |
| spelling | doaj.art-313994fbc68447bd93ad1a246b31255c2022-12-21T23:39:58ZengUniversity of São PauloAutopsy and Case Reports2236-19602011-03-011110.4322/acr.2016.01836320Acute coronary syndrome in young patients with atypical symptomsGustavo DaherHenrique Lane StaniakMárcio Sommer BittencourtRodolfo SharovskyEvaluation of acute chest pain can be extremely difficult and challenging. This diagnosis comprehends several causes, including benign and potentially lethal causes. Most of the time, the diagnosis can be done with the history and ordinary tests such as electrocardiogram, chest x-ray and myocardial enzymes. The coronary angiotomography is a new tool that can safely rule out acute coronary syndrome, being performed in patients with low to middle probability of acute coronary syndrome. The present report describes a young woman that presented to the emergency unit with atypical chest pain and myocardial enzyme elevation. Miocarditis was the initial diagnosis The patient was submited to a coronary angiotomography with late enhancement research. The coronary angiotomography demonstrated zero calcium score with a high degree stenosis in the coronary descending artery and late enhancement in anterior wall demonstrating myocardial necrosis. It was performed coronary catheterization and angioplasty afterwards.http://www.revistas.usp.br/autopsy/article/view/36412Chest paintAcute coronary syndromesTomographyAngiography/methodsMyocarditis. |
| spellingShingle | Gustavo Daher Henrique Lane Staniak Márcio Sommer Bittencourt Rodolfo Sharovsky Acute coronary syndrome in young patients with atypical symptoms Autopsy and Case Reports Chest paint Acute coronary syndromes Tomography Angiography/methods Myocarditis. |
| title | Acute coronary syndrome in young patients with atypical symptoms |
| title_full | Acute coronary syndrome in young patients with atypical symptoms |
| title_fullStr | Acute coronary syndrome in young patients with atypical symptoms |
| title_full_unstemmed | Acute coronary syndrome in young patients with atypical symptoms |
| title_short | Acute coronary syndrome in young patients with atypical symptoms |
| title_sort | acute coronary syndrome in young patients with atypical symptoms |
| topic | Chest paint Acute coronary syndromes Tomography Angiography/methods Myocarditis. |
| url | http://www.revistas.usp.br/autopsy/article/view/36412 |
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