Painless ischemia provoked by mental stress in the coronary care unit.
case_report · Level V
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- Record sourced from PubMed, PMID 7555136.
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Abstract
A 30-year-old man suffered a cardiac arrest after setting fire to his home. Continuous ST segment electrocardiographic monitoring in the Coronary Care Unit detected painless ST segment depression during an interview with a police officer. At angiography, the patient proved to have severe three-vessel coronary artery disease. This case demonstrates the clinical value of continuous ST segment monitoring in the ICU. In addition, the case illustrates that mental stress is a potential trigger for acute myocardial ischemia in the ICU.
Medical subject headings
- Coronary Care Units
- Myocardial Ischemia
- Stress, Psychological