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Electrocardiographic Changes Suggestive of Cardiac Ischemia in a Patient With Esophageal Food Impaction'A Case That's Hard to Swallow'
John Yackee, MD;
Ace Lipson, MD;
Alan G. Wasserman, MD
JAMA. 1986;255(15):2065-2066.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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MANY patients presenting with chest pain initially believed to be cardiac in etiology may, in fact, have esophageal disease as an alternative or additional cause of their complaints. Although electrocardiographic (ECG) repolarization abnormalities have been well described in gastroenterologic processes, such as pancreatitis and cholecystitis,1 and have been reported in esophageal disease,2-9 the ECG is generally thought to be a reliable means of distinguishing between esophageal and cardiac pain.10,11 In this report, we describe a patient who developed ECG changes suggestive of cardiac ischemia secondary to esophageal food impaction.
Report of a Case
A 57-year-old woman was admitted to the George Washington University Medical Center, Washington, DC, with a chief complaint of chest discomfort and dysphagia. She had a history of intermittent epigastric and substernal burning discomfort with meals, alleviated by antacids, and in 1979 was found to have a hiatal hernia with reflux by upper gastrointestinal
. . . [Full Text PDF of this Article]
Author Affiliations
From the Division of Cardiology, Department of Medicine, George Washington University Medical Center, Washington, DC.
Footnotes
Reprint requests to Division of Cardiology, Department of Medicine, George Washington University Medical Center, 2150 Pennsylvania Ave NW, Washington, DC 20037 (Dr Wasserman).
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