Buyukhatipoglu Hakan, Sezen Yusuf, Yildiz Ali, Kucukdurmaz Zekeriya, Faruk Omer
Department of Internal Medicine, Harran University School of Medicine, Sanliurfa, Turkey.
South Med J. 2010 Nov;103(11):1184-5. doi: 10.1097/SMJ.0b013e3181f4671e.
Chronic myocardial ischemia often presents with a fairly typical history, but patients can present with atypical chest pain or pain referred to a less-typical location like the jaw, stomach, or back. Sometimes patients describe symptoms usually not attributed to heart disease, like indigestion or feeling cold and clammy, in the presence or absence of chest pain. One important clue to underlying coronary artery disease is the appearance of symptoms that are induced by effort and relieved by rest. This paper describes two unusual presentations of myocardial ischemia in patients whose main symptom was hiccups, the first intractable hiccups over months and the second effort-induced hiccups. Both also described atypical chest pain.
慢性心肌缺血通常有相当典型的病史，但患者可能出现非典型胸痛，或疼痛放射至不太典型的部位，如下颌、胃部或背部。有时患者会描述一些通常不归因于心脏病的症状，如消化不良或感觉发冷、出汗，无论是否伴有胸痛。潜在冠状动脉疾病的一个重要线索是症状在用力时出现，休息时缓解。本文描述了两例以呃逆为主要症状的心肌缺血异常表现，第一例是数月来顽固性呃逆，第二例是劳力诱发的呃逆。两例患者均伴有非典型胸痛。
