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Nausea and Vomiting in Acute Myocardial Infarction

      In their recent study, Fuller et al
      • Fuller E.E.
      • Alemu R.
      • Harper J.F.
      • Feldman M.
      Relation of nausea and vomiting in acute myocardial infarction to location of the infarct.
      investigated the incidence of nausea and vomiting in 180 patients with ST-segment elevation acute myocardial infarctions (STEMIs) or acute myocardial infarctions (AMIs) associated with left bundle branch block. In total, 60% of their patients had inferior and 40% had anterior AMIs. Nausea was present in nearly 2/3 and vomiting in nearly 1/3 of patients, with nonsignificant trends toward greater occurrence of these symptoms with inferior compared to anterior AMI. Several issues regarding their report should be further discussed.
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      Linked Article

      • Relation of Nausea and Vomiting in Acute Myocardial Infarction to Location of the Infarct
        American Journal of CardiologyVol. 104Issue 12
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          To determine whether the incidence of nausea and vomiting in patients with acute myocardial infarction (AMI) varies with infarct location, we studied 180 patients who had been admitted to our hospital for ST-segment elevation AMI or AMI associated with left bundle branch block. The presenting symptoms (chest pain, nausea, and vomiting), initial electrocardiographic findings, and additional demographic, clinical, laboratory, and outcome data were extracted from the medical records and correlated with the infarct location.
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