10p for an angiogram: the cardio-oesophageal reflex. (2nd December 2010)

• Record Type: Journal Article
• Authors: Kandan, S R; Augustine, D X; Mansfield, R J; Easaw, J
• Is Part Of: BMJ case reports. Volume 2010
• Publication Date: 2010-12-02
• Subjects: Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr.05.2009.1870
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : A 57-year-old man presented at our institution with central chest pain. Serial ECGs showed dynamic T-wave changes, suggesting the possibility of unstable angina. Urgent coronary angiography revealed an unexpected finding of a radio-opaque lesion seen in the xiphisternal region during screening. Oesophogastroduodenoscopy confirmed this to be a 10p coin. The coin passed through the gastrointestinal tract without complications and the patient's symptoms and ECG changes resolved. This unusual case is a reminder that many diseases may electrocardiographically imitate an acute coronary syndrome.