Intractable hiccuping in acute myocardial infarction.

Abstract

Unfortunately our patient was too ill for studies of pancreatic function immediately before and after radiotherapy, but irradiation clearly resulted in a rapid inhibition of exocrine pancreatic secretion. The effect was transient: 12 weeks later pancreatic function was only slightly impaired. Though pancreatic ascites has resolved after conservative management and after diagnostic laparotomy (Barua et al, 1962; Cameron et al., 1969) the rapid cessation of pancreatic secretion after irradiation in our case clearly suggests a cause and effect relationship and that irradiation of the pancreas may be a useful treatment of pancreatic ascites, particularly when surgery is inadvisable or impossible. We should like to thank Dr. H. M. Salmon, superintendent of the Johannesburg Hospital, for permission to report this case, and Mrs. Rosemarie Bunker for expert technical assistance. We are indebted to the photographic unit, department of medicine, University of the Witwatersrand, for the Chart.

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

“…The earliest case report was in 1958, where a patient complained of dyspnea and orthopnea along with hiccups [5]. In 2 cases reported by Ikram et al in 1971, patients developed intractable hiccups 2 to 3 days following acute inferoposterolateral and acute anterolateral MI, respectively [6]. Many other case reports cite hiccups as an associated symptom after admission for myocardial infarction [7, 8].…”

The adjuvant use of lansoprazole, clonazepam and dimenhydrinate for treating intractable hiccups in a patient with gastritis and reflux esophagitis complicated with myocardial infarction: a case report

“…Hiccups can also be triggered by continuous loud laughter, extended inhalation of tobacco or cannabis smoke or even stress among healthy individuals. However, persistent or intractable hiccupps may be accompanied by various serious medical conditions such as myocardial infarction [4,6-11] (Table 1), and therefore warrant pharmacological interventions. In this article, we report the treatment of a patient with intractable hiccups, using lansoprazole, dimenhydrinate and clonazepam, which was successful in attenuating the symptoms with no further evidence of recurrence.…”

Myocardial Ischemia Presenting with Hiccups

“…The underlying etiology was myocardial infarction in 127 (98.4%) patients, 5,[7][8][9][10][11][12][13][14][15][16][17][19][20][21][22][23][24][25][26][27][28][29] and myocardial ischemia in 2 (1.6%) patients. 6,18 Of the myocardial infarction group, one patient each was diagnosed with Dressler syndrome, 16 associated with ischemic cardiomyopathy and atrial fibrillation, 15 and had in-stent thrombosis of the right coronary artery.…”

“…One patient with myocardial ischemia showed electrocardiographically atrioventricular dissociations. 6 The regions of myocardial infarction/ischemia were reported in 78 (60.5%) patients: 63 (80.8%) patients, [5][6][7]9,10,12,17,19,21,24,26,27,29 had single region involvements and 15 (19.2%) patients, 7,8,14,16,18,23,28 had multiple region involvement ( 2 =59.08, p<0.001).…”

“…For patients with AMI or acute myocardial ischemia, the hiccup duration was recorded as a minus when hiccups occurred post-admission. [5][6][7][8]10,12,14,16,17,[19][20][21]27 It was 1,460 days (4 years, n=1) for the patients with chronic myocardial infarction. 15 The situation of hiccups among other symptoms was described in 21 (16.3%) patients: hiccups as an only presentation of myocardial infarction in 7 (33.3%) patients, 5,10,12,14,21,27 as a primary symptom in 8 (38.1%) patients, [6][7][8]15,20,23,29 and as an accompanying symptom in 6 (28.6%) patients.…”