Titus Anoop, Sharma Nitish, Narayan Gayatri, Sattar Yasar, Angelis Dimitrios
Internal Medicine, Saint Vincent Hospital, Worcester, USA.
Cardiology, Saint Vincent Hospital, Worcester, USA.
Cureus. 2022 Mar 28;14(3):e23561. doi: 10.7759/cureus.23561. eCollection 2022 Mar.
Our patient was a 56-year-old Caucasian female who had 34 emergency department visits to our center with recurrent chest pain, of which eleven were of cardiac etiology, involving cardiac causes over the period of seven years. Her chest pain was diagnosed as atypical during her previous visits. Chest CT revealed "ace-of-spades" in the cardiac transverse section. A transthoracic echocardiogram (TTE) demonstrated apical hypertrophy with end-systolic cavity obliteration and an ejection fraction (EF) of 65%-70%, seated amidst a normal-sized left ventricle, with normal wall thickness, indicating Yamaguchi syndrome. In the case report, we portray the need to widen the spectrum of differentials in an encounter with a patient presenting with chest pain.
我们的患者是一名56岁的白种女性，因反复胸痛到我们中心急诊科就诊34次，其中11次是心脏病因，在7年期间涉及多种心脏病因。她的胸痛在之前就诊时被诊断为非典型胸痛。胸部CT显示心脏横断面上有“黑桃A”征。经胸超声心动图（TTE）显示心尖肥厚，收缩末期心腔闭塞，射血分数（EF）为65%-70%，左心室大小正常，壁厚正常，提示山口综合征。在本病例报告中，我们描述了在遇到胸痛患者时扩大鉴别诊断范围的必要性。
