Ozan Durmaz
Departmant of Internal Medicine, Van Training and Research Hospital, Turkey
Publications
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Case Report
Massive Myocardial Infarction Presenting With Abdominal Pain and Non-Specific ECG Findings: A Fatal Case Report
Author(s): Serife Bilgehan Arici* and Ozan Durmaz
Background Acute myocardial infarction (AMI) typically presents with chest pain; however, atypical presentations may lead to delayed recognition and fatal outcomes. Abdominal pain accompanied by a normal initial electrocardiogram (ECG) can mask underlying myocardial infarction, particularly in younger patients with cardiovascular risk factors. Case Presentation A 40-year-old male heavy smoker (two packs per day) initially presented to a general practitioner with severe abdominal pain. Physical examination revealed a soft abdomen with mild epigastric tenderness without guarding or rebound tenderness. No chest pain or other classic cardiac symptoms were reported. Proton pump inhibitors (PPI) and analgesics were prescribed for presumed gastritis. Initial ECG showed no specific abnormalities. Approximately 24 hours later, the patient d.. Read More»