Clinical analysis of acute myocardial infarction patients firstly diagnosed as otorhinolaryngological diseases

摘要

The most common symptom of acute myocardial infarction(AMI) patients is chest pain,rarely the otorhinolaryngological discomfort.We approach the clinical characters of AMI patients firstly diagnosed as otorhinolar-yngological diseases to lessen the misdiagnosis.Methods To review the 18 AMI patients firstly diagnosed as otorhin-laryngological diseases,and analyze their clinical manifestations and laboratory data.Results Eighteen AMI patients had atypical or no retrosternal discomfort.Among them,six patients visited their doctors for pharyngalgia,four for a-cute pharyngitis,five for vertigo,one for esophageal foreign objects,one for burning pain of facies nasalis,one for misdiagnosed internal otitis.The final diagnoses were: ten simple inferior wall myocardial infarction,6 anterior wall in-farction,2 inferior wall complicated with posterior wall infarction.Both myocardial enzymes and troponin tests showed the AMI changes.Conclusions the AMI patients firstly diagnosed as otorhinlaryngological diseases have no or atypical symptoms.They need to be overall examined and have the electrocardiogram (ECG) examination; the suspects should undergo myocardial enzyme and troponin tests and multiple consultations to avoid misdiagnosis and mistreatment,lower the fatality and decrease the malpraxis.