A Large Hiatal Hernia Mimicking Presentation of Acute Coronary Syndrome

Muhammad Shabbir Ijaz^1, , Julvet C Mbianda², Mahvish Afza³ and Mashal Mumtaz⁴

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

Cite this paper:
Muhammad Shabbir Ijaz, Julvet C Mbianda, Mahvish Afza and 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

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.

Keywords:
Hiatal Hernia intrathoracic herniation gastroesophageal junction

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References:

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