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Case Reports in Cardiology
Volume 2018, Article ID 7237454, 4 pages
https://doi.org/10.1155/2018/7237454
Case Report

Persistent Hiccups as the Only Presenting Symptom of ST Elevation Myocardial Infarction

1Department of Internal Medicine, Monmouth Medical Center, 300 Second Avenue, Long Branch, NJ 07740, USA
2Department of Internal Medicine, Division of Cardiology, Monmouth Medical Center, 300 Second Avenue, Long Branch, NJ 07740, USA

Correspondence should be addressed to Nasreen Shaikh; moc.liamg@nrd.hkiahs

Received 25 November 2017; Accepted 20 February 2018; Published 11 March 2018

Academic Editor: Assad Movahed

Copyright © 2018 Nasreen Shaikh et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Clinical manifestations of acute myocardial infarction can be more than just chest pain. Patients can present with dyspnea, fatigue, heart burn, diaphoresis, syncope, and abdominal pain to name a few. Our patient was a 74-year-old male with a past medical history of type 2 diabetes mellitus, hypertension, hyperlipidemia, and COPD due to chronic tobacco use, who presented with persistent hiccups for 4 days and no other complaints. Coincidently, he was found to have a diabetic foot ulcer with sepsis and acute kidney injury and hence was admitted to the hospital. A routine 12-lead EKG was done, and he was found to have an inferior wall ST elevation myocardial infarction. He underwent diagnostic catheterization which demonstrated 100% right coronary artery occlusion and a thallium viability study which confirmed nonviable myocardium; hence, he did not undergo percutaneous coronary intervention. Elderly patients who present with persistent hiccups should be investigated for an underlying cardiac etiology.