AKUT KORONER SENDROM İÇİN ATİPİK BİR PREZENTASYON: ATEŞ

Akut koroner sendrom hayatı tehdit eden bir hastalık grubu olduğu için erken tanınması ve tedavi edilmesi önemlidir. Bu sendromda acil servislere başta göğüs ağrısı olmak üzere birçok ek semptom nede- niyle başvuru olmaktadır. Biz bu yazımızda, acil servisimize ateş nedeniyle başvuran ve akut koroner sendrom tanısı konulan hastayı değerlendireceğiz. Akut koroner sendromun atipik prezentasyonları nedeniyle gizli kalan ve atlanarak evine gönderilen hasta sayısı azımsanmayacak düzeydedir. Bu noktada acil servis hekimleri çok dikkatli olmalıdırlar.

Fever; as an Atypical Presentation of Acute Coronary Syndrome

Early diagnosis and treatment of acute coronary syndrome is important because it is a life threating illness group. In this syndrome there are lots of admissions to emergency departments with additional sypmtoms particularly chest pain. With this case, we present a patient who was admitted to our emergency department because of fever, but was diagnosed as acute coronary syndrome. Because of atypical presentations of acute coronary syndrome, the number of hidden/ sent home patients is quite high. Emergency service doctors should be very carefully at this point.

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1. Pope JH, Aufderheide TP, Ruthazer R et al. Missed diagnosis of acute cardiac ischemia in the emergency department. N Engl J Med 2000;342:1163-70.
2. McCarty BD, Beshansky JR, D'Agostino RB et al. Missed diagnosis of acute myocardial infarction in the emergency department: results from a multicenter study. Ann Emerg Med 1993;22:579-82.
3. Rogers FJ. The Clinical spectrum of acute coronary syndromes. J Am Osteopath Assoc. 2000; 100 (11): 1-7.
4. Rosengren A, Wallentin L, K Gitt A,et al. Sex, age, and clinical presentation of acute coronary syndromes. Eur Heart J. 2004; 25(8):663-670.
5. Canto JG, Fincher C, Kiefe CI,et al. Atypical presentations among Medicare bene- ficiaries with unstable angina pectoris. Am J Cardiol 2002;90:248- 253.
6. Culic V, Eterovic D, Miric D, et al. Symptom presentation of acute myocardial infarction: influence of sex, age, and risk factors. Am Heart J 2002;144:1012- 1017.
7. Ateş ve lökositoz ile prezente olan akut miyokard enfarktüsü olgusunda ventrikül septum rüptürü ve kardiyojenik şok - Editöre Mektup. T Özgür. Anadolu Kardiyoloji Dergisi 2007; 7: 449-58.