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

WEI Xiao-lin; HUANG Zhi-feng; ZHOU Shuo

摘要：Background 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 otorhinolaryngological diseases to lessen the misdiagnosis.Methods To review the 18 AMI patients firstly diagnosed as otorhinlaryngological 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 acute 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 infarction,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.