Type II Myocardial Infarction and Stress Cardiomyopathy Secondary to Inhaled Foreign Body (Garden Pea)

Abstract A foreign body aspiration is an unusual event in the adult population, outside of known risk factors such as neurological disease. It typically presents "cough (67%), dyspnoea (28%), chest pain, cyanosis, stridor or obstruction" and "wheezing (12.7%) haemoptysis (23.3%)". The authors present case inhaled (pea) a 69-year-old lady, without underlying for aspiration. On admission, she was tachypnoeic unable to speak full sentences. Her Computerised tomography (CT) scan showed ground-glass changes potentially superimposed infective changes. Whilst awaiting transfer bronchoscopy, developed severe respiratory distress with cardiovascular compromise (new left bundle branch block (LBBB), tachycardia hypertension). She intubated extremis commenced on noradrenaline. angiogram mild non-obstructive disease, diagnosed type two myocardial infarction stress-induced cardiomyopathy. pea later removed intensive care via flexible-bronchoscopy. Learning points include potential patients acutely deteriorate, hence need urgent bronchoscopic removal develop ischaemia secondary acute distress.