Vol 69, No 8 (2011)
Chorzy trudni typowi
Published online: 2011-08-17
Myocardial infarction without coronary arteries stenoses in a patient with Jervell and Lange-Nielsen syndrome — diagnostic dilemmas
DOI: 10.33963/v.kp.79216
Kardiol Pol 2011;69(8):830-832.
Abstract
According to the rules of differential diagnostics an acute coronary syndrome (ACS) often constitutes an initial diagnosis while
a subsequent patient’s follow-up with troponin determination results in further verification of the diagnosis. A 55 year-old
female with congenital hearing loss, poorly controlled hypertension, type 2 diabetes treated with oral medications, and
hypothyreosis was admitted to the Department of Cardiology with 6 h long severe chest pain radiating over her back with
concomitant dyspnea. She underwent urgent coronary angiography which showed no epicardial coronary narrowing. Acute
heart failure symptoms occurred immediately after coronary angiography in the form of cardiogenic shock. Even though an
ACS was diagnosed on the basis of typical biochemical, electrocardiographic and clinical criteria, a further follow-up suggested
a possibility of a co-existance of other diseases which occurred to be a Jervell and Lange-Nielsen syndrome.
Kardiol Pol 2011; 69, 8: 830–832
Kardiol Pol 2011; 69, 8: 830–832
Keywords: LQTSJervell and Lange-Nielsen syndromemyocardial infarctionacute coronary syndrometako-tsubo syndromevariant angina