open access

Vol 66, No 1 (2015)
MARITIME MEDICINE Case report
Published online: 2015-03-19
Submitted: 2015-03-19
Accepted: 2015-03-19
Get Citation

Atypical myocardial infarction on a cruise ship

Christopher Taylor
DOI: 10.5603/IMH.2015.0006
·
Pubmed: 25792162
·
International Maritime Health 2015;66(1):22-24.

open access

Vol 66, No 1 (2015)
MARITIME MEDICINE Case report
Published online: 2015-03-19
Submitted: 2015-03-19
Accepted: 2015-03-19

Abstract

A previously asymptomatic 44-year-old male crewmember on a cruise ship experienced several brief episodes of acute chest pain within a short time frame. He was ultimately diagnosed with myocardial infarction; 5 h earlier he had been discharged from the ship’s medical centre after almost 8 h of monitoring to rule-out infarction. Subsequent angiography ashore revealed a 99% occlusion of the right coronary artery. This case highlights the dangers of over-reliance on shipboard cardiac enzyme testing to clear a patient with chest pain.

Abstract

A previously asymptomatic 44-year-old male crewmember on a cruise ship experienced several brief episodes of acute chest pain within a short time frame. He was ultimately diagnosed with myocardial infarction; 5 h earlier he had been discharged from the ship’s medical centre after almost 8 h of monitoring to rule-out infarction. Subsequent angiography ashore revealed a 99% occlusion of the right coronary artery. This case highlights the dangers of over-reliance on shipboard cardiac enzyme testing to clear a patient with chest pain.

Get Citation

Keywords

acute chest pain, acute coronary syndrome, myocardial infarction, cardiac enzymes, electrocardiogram, maritime medicine

About this article
Title

Atypical myocardial infarction on a cruise ship

Journal

International Maritime Health

Issue

Vol 66, No 1 (2015)

Pages

22-24

Published online

2015-03-19

DOI

10.5603/IMH.2015.0006

Pubmed

25792162

Bibliographic record

International Maritime Health 2015;66(1):22-24.

Keywords

acute chest pain
acute coronary syndrome
myocardial infarction
cardiac enzymes
electrocardiogram
maritime medicine

Authors

Christopher Taylor

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