Cholecystitis Masquerading as Cardiac Chest Pain: A Case Report
نویسندگان
چکیده
BACKGROUND Cope's sign is the association of bradycardia with symptoms acute cholecystitis, which can occur due to a vagal cardiobiliary reflex. The clinical and electrocardiographic changes or complete heart block mimic presentation coronary syndrome. This report highlights unique possibility that in patients abdominal pain gallstones be this CASE REPORT A 46-year-old obese man hyperlipidemia presented chest suggestive cardiac ischemia. initial electrocardiography (EKG) was normal, although patient subsequently developed 2nd-degree atrioventricular (AV) block. results further cardiothoracic investigations (including echocardiography pharmacologic stress testing) were normal. An ultrasound abdomen revealed cholecystitis. After he underwent laparoscopic cholecystectomy, resolved completely, EKG reverted its normal sinus rhythm. CONCLUSIONS Acute cholecystitis rarely presents triggering Given atypical presentation, often undergo invasive procedures search nonexistent etiology coupled missed diagnosis When clinicians consider syndrome bradycardia, T-wave inversion, ST-segment elevation (especially inferior leads), they should add intra-abdominal pathologies cholecystitis) differential diagnosis.
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ژورنال
عنوان ژورنال: American Journal of Case Reports
سال: 2021
ISSN: ['1941-5923']
DOI: https://doi.org/10.12659/ajcr.932078