Diarrhea in a Patient With 3 Vessel Disease: A Case of Atypical Myocardial Infarction
-
Salehe Mehrafarid
,
Farid Reza Ejlali
,
Hanieh Amani
,
Maryam Mohammadi
,
Seyed Reza Habibzadeh
,
Mahdi Foroughian
Abstract
Acute myocardial infarction (AMI) typically presents with retrosternal chest pain exacerbated by exertion and relieved by rest or nitroglycerin. However, this case describes an 81-year-old male who presented with Diarrhea and generalized weakness, an unusual manifestation of AMI. This highlights the importance of recognizing atypical symptoms, particularly in elderly patients with comorbidities, to ensure timely diagnosis and intervention.
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2. Ferry AV, Anand A, Strachan FE, Mooney L, Stewart SD, Marshall L, et al. Presenting Symptoms in Men and Women Diagnosed With Myocardial Infarction Using Sex-Specific Criteria. J Am Heart Assoc 2019;8:e012307.
3. Hovey J, Perwez T, Regula P, Chaucer B, Nagalapuram V. Acute Coronary Syndrome Presenting With Hiccups. Cureus 2021;13:e16244.
4. Kim SJ. Global Awareness of Myocardial Infarction Symptoms in General Population. Korean Circ J 2021;51:997-1000.
5. Miller AL, Simon D, Roe MT, Kontos MC, Diercks D, Amsterdam E, et al. Comparison of Delay Times from Symptom Onset to Medical Contact in Blacks Versus Whites With Acute Myocardial Infarction. Am J Cardiol 2017;119:1127-34.
6. Beyranvand MR, Manhoobi H, Shahraz S, Kolahi AA. Myocardial Infarction in Iran: Epidemiology, Management, and Prognosis. J Tehran Heart Cent 2023;18:82-6.
7. Ghazzay H, Kamil A. Diarrhea as atypical symptom of acute myocardial infarction. Al-Anbar Med J 2019;15:48-50.
8. Møller AL, Mills EHA, Gnesin F, Jensen B, Zylyftari N, Christensen HC, et al. Impact of myocardial infarction symptom presentation on emergency response and survival. Eur Heart J Acute Cardiovasc Care 2021;10:1150-9.
9. Brieger D, Eagle KA, Goodman SG, Steg PG, Budaj A, White K, et al. Acute coronary syndromes without chest pain, an underdiagnosed and undertreated high-risk group: insights from the Global Registry of Acute Coronary Events. Chest 2004;126:461-9.
10. Khan IA, Karim HMR, Panda CK, Ahmed G, Nayak S. Atypical Presentations of Myocardial Infarction: A Systematic Review of Case Reports. Cureus 2023;15:e35492.
11. Petrov DB, Sardovski SI, Milanova MH. Severe Hypokalemia Masquerading Myocardial Ischemia. Cardiol Res 2012;3:236-8.
| Files | ||
| Issue | Vol 64 No 1 (2026) | |
| Section | Case Report(s) | |
| Keywords | ||
| Diarrhea Coronary artery disease Myocardial infarction Atypical presentation | ||
| Rights and permissions | |
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Mehrafarid S, Ejlali FR, Amani H, Mohammadi M, Habibzadeh SR, Foroughian M. Diarrhea in a Patient With 3 Vessel Disease: A Case of Atypical Myocardial Infarction. Acta Med Iran. 2026;64(1).
