2009
DOI: 10.4076/1757-1626-2-8278
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Electrocardiographic changes in hiatal hernia: a case report

Abstract: We describe the case of a 78-year-old woman admitted to our department for suspected silent myocardial ischaemia with the evidence of T wave inversion in anterior lead. All the instrumental exams excluded inducible myocardial ischaemia. A gastroscopy showed a moderate hiatal hernia. We postulate that electrocardiogram modification could be attributed to hiatal hernia.

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Cited by 7 publications
(5 citation statements)
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“…The process of simply visualizing and setting up a positive diagnosis was started by Soykan Arian and her medical team when analyzing 21 patients with Morgagni hernia. This study resulted in an interesting conclusion-dyspnea was the most prominent symptom [19], and computerized tomography was the gold standard for an accurate diagnosis [19,20], as in our case.…”
Section: Discussionsupporting
confidence: 49%
“…The process of simply visualizing and setting up a positive diagnosis was started by Soykan Arian and her medical team when analyzing 21 patients with Morgagni hernia. This study resulted in an interesting conclusion-dyspnea was the most prominent symptom [19], and computerized tomography was the gold standard for an accurate diagnosis [19,20], as in our case.…”
Section: Discussionsupporting
confidence: 49%
“…4 Moreover, patients with more frequent gastroesophageal reflux symptoms and/or esophagitis seem to have an increased risk of AF. 5 Similarly, there have been case reports of atrial flutter, 6 junctional bradycardias, 7 anterior T-wave inversion, 8 and ST elevation that have resolved post hernia repair or even after initiation of anti-reflux therapy. 9 , 10 …”
Section: Discussionmentioning
confidence: 99%
“…Hiatal hernia and changes in electrocardiogram. Changes in the electrocardiogram pattern and rhythm have been observed in patients with hiatal hernias [17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35]. However, the linkage between these conditions has not been fully elucidated.…”
Section: Tension Gastrothorax As Hiatal Hernia Complicationmentioning
confidence: 99%