A 93-year-old female and an 81-year-old female presented to the Emergency Department (ED) with hypoactive delirium. In both cases, a quite common delirium-precipitating factor was initially thought to be found by the ED physicians. However, a proactive searching for all medical reasons potentially underlying delirium enabled the physicians of our Acute Geriatric Unit to unveil a diagnosis of acute myocardial infarction. These cases illustrate the complexity of detecting delirium and its etiology, especially in frail patients. We suggest that a systematic diagnostic workup should be performed in all patients presenting with delirium, including an EKG and enzymes measurement even in the absence of typical cardiovascular symptoms.

Ferrara, M., Massariello, F., Annoni, G., & Bellelli, G. (2019). How the systematic detection of delirium may help physicians avoid a misdiagnosis of acute myocardial infarction: Two case reports. JOURNAL OF GERONTOLOGY AND GERIATRICS, 67(3), 190-193.

How the systematic detection of delirium may help physicians avoid a misdiagnosis of acute myocardial infarction: Two case reports

Ferrara M. C.;Massariello F.;Annoni G.;Bellelli G.
2019

Abstract

A 93-year-old female and an 81-year-old female presented to the Emergency Department (ED) with hypoactive delirium. In both cases, a quite common delirium-precipitating factor was initially thought to be found by the ED physicians. However, a proactive searching for all medical reasons potentially underlying delirium enabled the physicians of our Acute Geriatric Unit to unveil a diagnosis of acute myocardial infarction. These cases illustrate the complexity of detecting delirium and its etiology, especially in frail patients. We suggest that a systematic diagnostic workup should be performed in all patients presenting with delirium, including an EKG and enzymes measurement even in the absence of typical cardiovascular symptoms.
Articolo in rivista - Articolo scientifico
Scientifica
Delirium; Myocardial infarction; Older; Underdetection;
Delirium, Myocardial infarction, Older, Underdetection
English
Ferrara, M., Massariello, F., Annoni, G., & Bellelli, G. (2019). How the systematic detection of delirium may help physicians avoid a misdiagnosis of acute myocardial infarction: Two case reports. JOURNAL OF GERONTOLOGY AND GERIATRICS, 67(3), 190-193.
Ferrara, M; Massariello, F; Annoni, G; Bellelli, G
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/10281/280995
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