CHRONIC ISCHEMIA IN LEFT ANTERIOR DESCENDING ARTERY TERRITORY PRESENTING AS INTRACTABLE HICCUPS: AN UNUSUAL SYMPTOM OF CORONARY ARTERY DISEASE

A 48-year-old male presented to us with history of retrosternal chest pain for 6 hours duration associated with diaphoresis and dyspnea. His initial ECG showed acute anterior wall myocardial infarction. He underwent successful primary PCI to the LAD with a drug eluting stent. He had a past history of hypertension and family history of premature CAD. He was on ramipril 5 mg tablet for hypertension.

Conclusion is that cardiologists should have a low threshold for ischemic heart disease diagnosis and workup in patients who present with hiccups especially if they have multiple risk factors for ischemic heart disease. Our patient had hypertension and family history of premature CAD.