Abstract
It is known that oesophageal pain can imitate angina and also that non specific ECG changes, probably catecholamine mediated, can be similar to those due to true myocardial ischaemia. Both of these can therefore pose a problem for the diagnosis of angina pain due to cardiac ischaemia. We report a patient who had both of these conditions simultaneously, pain on exertion appearing as angina but due to oesophagitis, and "ischaemic" ECG changes due to catecholamines—a double mimic of myocardial ischaemia.
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Contributor Information
Robert F. Logan, Department of Cardiology, Taunton and Somerset Hospital (Musgrove Park), Taunton, Somerset TA1 5DA
Jim Shahi, Department of Cardiology, Taunton and Somerset Hospital (Musgrove Park), Taunton, Somerset TA1 5DA.
John E. Sanderson, Department of Cardiology, Taunton and Somerset Hospital (Musgrove Park), Taunton, Somerset TA1 5DA