Diarrhea in a Patient With 3 Vessel Disease: A Case of Atypical Myocardial Infarction

Salehe  Mehrafarid; Farid Reza  Ejlali; Hanieh  Amani; Maryam  Mohammadi; Seyed Reza  Habibzadeh; Mahdi  Foroughian

doi:10.18502/acta.v64i1.21038

Salehe Mehrafarid Department of Emergency Medicine, Birjand University of Medical Sciences, Birjand, Iran
Farid Reza Ejlali Department of General Practitioner, Faculty of Medicine Sciences, Mashhad Branch, Islamic Azad University, Mashhad, Iran
Hanieh Amani Student Research Committee, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
Maryam Mohammadi Emergency Medicine Specialist, Mehrgan Hospital, Kerman, Iran
Seyed Reza Habibzadeh Department of Emergency Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
Mahdi Foroughian Department of Emergency Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

DOI: https://doi.org/10.18502/acta.v64i1.21038

Keywords: Diarrhea; Coronary artery disease; Myocardial infarction; Atypical presentation

Abstract

Acute myocardial infarction (AMI) typically presents with retrosternal chest pain exacerbated by exertion and relieved by rest or nitroglycerin. However, this case describes an 81-year-old male who presented with Diarrhea and generalized weakness, an unusual manifestation of AMI. This highlights the importance of recognizing atypical symptoms, particularly in elderly patients with comorbidities, to ensure timely diagnosis and intervention.