Key result
Large hiatal hernia mimics STEMI in a patient without occlusive CAD.
Why the study?
Hiatal hernia is a very rare cause of ST segment elevation and should be considered in the differential diagnosis of ST elevation disorders.
Case Report (n=1)
Hiatal hernia is a rare cause of ST segment elevation and should be considered in the differential diagnosis of STEMI mimics.
Hiatal hernia may mimic STEMI with negative CAD workup; hypothesis-generating and should not yet change practice.
A 72-year-old man with a history of hypertension, hiatal hernia, prostate cancer and lung cancer was admitted with complaints of abdominal pain, sweating and rigors. An electrocardiogram showed ST elevation in multiple leads. Noninvasive and invasive cardiovascular work-up was performed that was negative for occlusive coronary artery disease. Further studies demonstrated a large hiatal hernia; this was found to be the culprit causing his symptoms. Hiatal hernia is a very rare cause of ST segment elevation and should be considered in the differential diagnosis of disorders that can cause ST elevation.
No takes yet. Share an insight, caveat, or question.
Narala et al. (2014) conducted a case report in Hiatal hernia mimicking ST elevation myocardial infarction (n=1). Hiatal hernia was evaluated on ST elevation mimicking myocardial infarction. A large hiatal hernia caused symptoms and electrocardiogram changes mimicking an ST elevation myocardial infarction in a 72-year-old man without occlusive coronary artery disease.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: