"Cardiac Otalgia": Acute coronary syndrome masquerading as bilateral ear pain

被引:0
作者
Sheikh, Mujeeb [2 ]
Adlakha, Satjit [2 ]
Chahal, Mangeet [2 ]
Bruhl, Steven [2 ]
Pandya, Utpal [2 ]
Saeed, Bilal [1 ]
机构
[1] Univ Toledo, Med Ctr, Dept Internal Med, Toledo, OH 43614 USA
[2] Univ Toledo, Med Ctr, Dept Cardiovasc Dis, Toledo, OH 43614 USA
关键词
acute coronary syndrome; ear pain; SPINOTHALAMIC TRACT NEURONS; MYOCARDIAL-INFARCTION; ISCHEMIA;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Patients presenting with acute coronary syndromes are classically described as having chest pressure with radiation to the left arm. However, pain can be referred to multiple sites including the face, the neck, the abdomen and the contra-lateral arm. We present a case of sudden bilateral ear pain as the sole presentation of acute coronary syndrome in an elderly man. The importance of recognizing these atypical presentations is vital, as outcomes may be worsened as appropriate therapy may be delayed or misdirected. (Cardiol J 2010; 17,6: 623-624)
引用
收藏
页码:623 / 624
页数:2
相关论文
共 8 条
  • [1] Intrapericardiac injections of algogenic chemicals excite primate C1-C2 spinothalamic tract neurons
    Chandler, MJ
    Zhang, JH
    Qin, C
    Yuan, Y
    Foreman, RD
    [J]. AMERICAN JOURNAL OF PHYSIOLOGY-REGULATORY INTEGRATIVE AND COMPARATIVE PHYSIOLOGY, 2000, 279 (02) : R560 - R568
  • [2] Convergence of trigeminal input with visceral and phrenic inputs on primate C1-C2 spinothalamic tract neurons
    Chandler, MJ
    Qin, C
    Yuan, Y
    Foreman, RD
    [J]. BRAIN RESEARCH, 1999, 829 (1-2) : 204 - 208
  • [3] Orofacial pain of cardiac origin: A case report
    Durso, BC
    Israel, MS
    Janini, MER
    Cardoso, AS
    [J]. CRANIO-THE JOURNAL OF CRANIOMANDIBULAR & SLEEP PRACTICE, 2003, 21 (02): : 152 - 153
  • [4] Localization of pain in suspected acute myocardial infarction in relation to final diagnosis, age and sex, and site and type of infarction
    Everts, B
    Karlson, BW
    Wahrborg, P
    Hedner, T
    Herlitz, J
    [J]. HEART & LUNG, 1996, 25 (06): : 430 - 437
  • [5] Craniofacial pain as the sole symptom of cardiac ischemia - A prospective multicenter study
    Kreiner, Marcelo
    Okeson, Jeffrey P.
    Michelis, Virginia
    Lujambio, Mariela
    Isberg, Annika
    [J]. JOURNAL OF THE AMERICAN DENTAL ASSOCIATION, 2007, 138 (01) : 74 - 79
  • [6] ACTIVATION OF CARDIAC SYMPATHETIC AFFERENTS DURING CORONARY-OCCLUSION - EVIDENCE FOR REFLEX ACTIVATION OF SYMPATHETIC NERVOUS-SYSTEM DURING TRANSMURAL MYOCARDIAL-ISCHEMIA IN THE DOG
    MINISI, AJ
    THAMES, MD
    [J]. CIRCULATION, 1991, 84 (01) : 357 - 367
  • [7] ANGINA AND MYOCARDIAL-INFARCTION PRESENTING WITH PAIN CONFINED TO THE EAR
    ROTHWELL, PM
    [J]. POSTGRADUATE MEDICAL JOURNAL, 1993, 69 (810) : 300 - 301
  • [8] Postoperative pain relief in infants undergoing myringotomy and tube placement: comparison of a novel regional anesthetic block to intranasal fentanyl - a pilot analysis
    Voronov, Polina
    Tobin, Michael J.
    Billings, Kathleen
    Cote, Charles J.
    Iyer, Aditya
    Suresh, Santhanam
    [J]. PEDIATRIC ANESTHESIA, 2008, 18 (12) : 1196 - 1201