New York City, Hiccup is a common condition that often occurs in every person. But a man must enter the emergency room because they experienced hiccups for 4 days turned out to be the only symptom of heart attack.
In the case of very rare and very unusual, persistent hiccups may be the only symptom of heart attack. Although very few cases like this, but according to a case study published in American Journal of Emergency Medicine January issue, this is known to have occurred in a 68-year-old man.
The man who was not identified shall be entered the emergency room because of a hiccup every 4 to 6 seconds for four days.
Her blood pressure was slightly high and the doctors did a chest X-ray test to look for possible tumors, but not found any problems.
The doctor then gave him muscle relaxants and other drugs known to reduce singultus, which is the medical term for hiccups. According to doctors, the drug will stop on its own hiccups. But two days later, he returned to the emergency room with the condition are still hiccups.
Because the old man had several risk factors for heart disease, like diabetes, smoking and high blood pressure, doctors tested with an electrocardiogram (ECG), which will show some heart rhythm abnormalities.
Blood tests showed the man had a high level of proteins released when the heart muscle has been damaged, which confirmed the diagnosis for a small heart attack.
He did not experience chest pain, no shortness of breath, uncomfortable, and no nausea, dizziness or sweating, only the constant hiccups. But once he was given the heart medication, hiccups vanished.
“I honestly do not know why he had no warning signs of common heart attack. But many people, especially people with diabetes, can have unusual presentations to heart problems,” explains Dr. Joshua Davenport, an emergency physician at St.. Luke’s-Roosevelt Hospital, New York City, as reported by MSNBC.
According to Dr. Davenport, hiccups are usually not caused by something heavy like a person experiencing a heart attack without other symptoms. The case was admitted as an exception and is very rare.
“As for why heart problems may have triggered a hiccup, because when the heart is not getting enough oxygen due to lack of blood flow through diseased arteries, it can irritate the nerve diaphragm, respiratory muscle below the heart,” he explained.
Hiccups that occur show that the diaphragm (dome-shaped muscle located just below the lungs and connects to the rib cage) moves up and down without knowing it, or so-called spasmodic contraction of the diaphragm.
One of the nerves that regulate the movement of this diaphragm is the phrenic nerve. The more common reasons why the nerve to walk into the diaphragm cause hiccups are irritated and distended stomach, drinking alcohol or a lot of soda, chewing gum or smoking.
The case of nonstop hiccups can also be triggered by acid reflux. Constant hiccups can also be caused by tumors in the head, neck or lung disease, or infection in the brain or ear.
Powered by Facebook Comments