American Journal of Internal Medicine

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Acute Chest Pain in a 70-Year-Old Woman at CNHU-HKM Cotonou: Morbid Association or Diagnostic Wandering

Received: 04 June 2018    Accepted: 28 June 2018    Published: 21 July 2018
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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.

DOI 10.11648/j.ajim.20180604.12
Published in American Journal of Internal Medicine (Volume 6, Issue 4, July 2018)
Page(s) 56-60
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Chest Pain, Acute Coronary Syndrome, Myopericarditis, Angioplasty

References
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Author Information
  • Department of Cardiology, Teaching Hospital of Cotonou, Abomey-Calavi University, Cotonou, Benin

  • Department of Cardiology, Teaching Hospital of Cotonou, Abomey-Calavi University, Cotonou, Benin

  • Department of Cardiology, Teaching Hospital of Ouémé and Plateau, Abomey-Calavi University, Porto-Novo, Benin

  • Department of Internal Medicine, Teaching Hospital of Cotonou, Abomey-Calavi University, Cotonou, Benin

  • 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

  • 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

  • Department of Cardiology, Teaching Hospital of Cotonou, Abomey-Calavi University, Cotonou, Benin

  • Department of Cardiology, Teaching Hospital of Cotonou, Abomey-Calavi University, Cotonou, Benin

Cite This Article
  • APA Style

    Philippe Mahouna Adjagba, Murielle Hounkponou, Arnaud Sonou, Kouessi Anthelme Agbodandé, Salimatou Assani Moutaïrou, et al. (2018). Acute Chest Pain in a 70-Year-Old Woman at CNHU-HKM Cotonou: Morbid Association or Diagnostic Wandering. American Journal of Internal Medicine, 6(4), 56-60. https://doi.org/10.11648/j.ajim.20180604.12

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    ACS Style

    Philippe Mahouna Adjagba; Murielle Hounkponou; Arnaud Sonou; Kouessi Anthelme Agbodandé; Salimatou Assani Moutaïrou, et al. Acute Chest Pain in a 70-Year-Old Woman at CNHU-HKM Cotonou: Morbid Association or Diagnostic Wandering. Am. J. Intern. Med. 2018, 6(4), 56-60. doi: 10.11648/j.ajim.20180604.12

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    AMA Style

    Philippe Mahouna Adjagba, Murielle Hounkponou, Arnaud Sonou, Kouessi Anthelme Agbodandé, Salimatou Assani Moutaïrou, et al. Acute Chest Pain in a 70-Year-Old Woman at CNHU-HKM Cotonou: Morbid Association or Diagnostic Wandering. Am J Intern Med. 2018;6(4):56-60. doi: 10.11648/j.ajim.20180604.12

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  • @article{10.11648/j.ajim.20180604.12,
      author = {Philippe Mahouna Adjagba and Murielle Hounkponou and Arnaud Sonou and Kouessi Anthelme Agbodandé and Salimatou Assani Moutaïrou and Rosaire Bognon and Ikram Akinocho and Yessoufou Tchabi and Martin Dèdonougbo Houénassi},
      title = {Acute Chest Pain in a 70-Year-Old Woman at CNHU-HKM Cotonou: Morbid Association or Diagnostic Wandering},
      journal = {American Journal of Internal Medicine},
      volume = {6},
      number = {4},
      pages = {56-60},
      doi = {10.11648/j.ajim.20180604.12},
      url = {https://doi.org/10.11648/j.ajim.20180604.12},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ajim.20180604.12},
      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.},
     year = {2018}
    }
    

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  • TY  - JOUR
    T1  - Acute Chest Pain in a 70-Year-Old Woman at CNHU-HKM Cotonou: Morbid Association or Diagnostic Wandering
    AU  - Philippe Mahouna Adjagba
    AU  - Murielle Hounkponou
    AU  - Arnaud Sonou
    AU  - Kouessi Anthelme Agbodandé
    AU  - Salimatou Assani Moutaïrou
    AU  - Rosaire Bognon
    AU  - Ikram Akinocho
    AU  - Yessoufou Tchabi
    AU  - Martin Dèdonougbo Houénassi
    Y1  - 2018/07/21
    PY  - 2018
    N1  - https://doi.org/10.11648/j.ajim.20180604.12
    DO  - 10.11648/j.ajim.20180604.12
    T2  - American Journal of Internal Medicine
    JF  - American Journal of Internal Medicine
    JO  - American Journal of Internal Medicine
    SP  - 56
    EP  - 60
    PB  - Science Publishing Group
    SN  - 2330-4324
    UR  - https://doi.org/10.11648/j.ajim.20180604.12
    AB  - 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.
    VL  - 6
    IS  - 4
    ER  - 

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