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Hyun, J. J., & Bak, Y.-T. (2011). Clinical Significance of Hiatal Hernia. Gut and Liver, 5(3), 267-277. Clinical significance of hiatal hernia.

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Article

A Large Hiatal Hernia Mimicking Presentation of Acute Coronary Syndrome

1Department of Medicine, Poplar Bluff Regional Medical Center, Poplar Bluff, USA

2Department of Cardiology, Aventura Hospital and Medical Center, Florida, USA

3Allama Iqbal Medical College, Lahore, Pakistan

4University of Lahore, Pakistan


American Journal of Medical Case Reports. 2022, Vol. 10 No. 9, 247-248
DOI: 10.12691/ajmcr-10-9-9
Copyright © 2022 Science and Education Publishing

Cite this paper:
Muhammad Shabbir Ijaz, Julvet C Mbianda, Mahvish Afza, Mashal Mumtaz. A Large Hiatal Hernia Mimicking Presentation of Acute Coronary Syndrome. American Journal of Medical Case Reports. 2022; 10(9):247-248. doi: 10.12691/ajmcr-10-9-9.

Correspondence to: Muhammad  Shabbir Ijaz, Department of Medicine, Poplar Bluff Regional Medical Center, Poplar Bluff, USA. Email: m.shabbir.ijaz.md@gmail.com

Abstract

Although the incidence of hiatal hernias increases with age, respiratory and cardiac symptoms caused by hiatal hernias remain uncommon. A large hiatal hernia with intrathoracic herniation of abdominal contents can clinically mimic presentation of acute coronary syndrome (ACS), impair physical capacity and possibly increase BNP (B-Type Natriuretic Peptide) levels. We report a rare case of a 78-year-old female who presented with typical cardiac chest pain and was found to have a symptomatic large hiatal hernia.

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