Non-ST Elevation MI as a Unique Presentation of Angioimmunoblastic T-cell Lymphoma

The Medicine Forum

Marhefka, MD, Gregary¹  Chandra, MD, Avinash¹  Lee, MSIV, Lawrence¹  Shah, MD, Gunjan¹  Shah, MD, Paurush¹ 

[1] Thomas Jefferson UniversityThomas Jefferson UniversityThomas Jefferson University

关键词: Non-ST Elevation MI as a Unique Presentation of Angioimmunoblastic T-cell Lymphoma;    The Medicine Forum;    Thomas Jefferson University Hospital;    journal;    Philadelphia;    United States;    residents;   

DOI  :  

学科分类：医学（综合）

来源: Thomas Jefferson University

【 摘 要 】

CaseA 61-year-old Chinese female with a history of hypertension, hyperlipidemia, asthma, and gastroesophageal reflux disease presented with four days of chest pressure that radiated to her left arm and jaw. On exam, her vital signs were within normal limits and cardiac and pulmonary exams were unremarkable. Her initial electrocardiogram (ECG) demonstrated ischemic ST segment depressions in leads II, III, and aVF; her first troponin I was elevated at 2.3 ng/mL (normal <0.05 ng/mL) and peaked at 6.8 ng/mL. She was given sublingual nitroglycerin and metoprolol, which controlled her symptoms, and she was started on a heparin infusion to prevent further ischemia. The patient’s medications included: amlodipine was notable for the following daily medications: amlodipine 5 mg, olmesartan 20mg, atorvastatin 20mg, esomeprazole 20mg, montelukast 10mg, and mometasone 110mcg twice daily. Her family history was significant for a brother who had a coronary stent placed at age 57. She denied drug, tobacco, or alcohol use. She was non-English speaking, and immigrated to the United States from China five years ago.

【 授权许可】

Unknown