Which cardiovascular findings may be significant in the evaluation of an elderly person with abdominal pain?

Updated: Jul 17, 2018
  • Author: E David Bryan, MD; Chief Editor: Barry E Brenner, MD, PhD, FACEP  more...
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Answer

Acute myocardial infarction can present as epigastric pain with or without nausea and vomiting.

The finding of atrial fibrillation or signs of diminished cardiac output should raise the consideration of mesenteric ischemia.

Hypotension, even if transient, is an ominous sign and should elicit consideration of ruptured AAA, acute myocardial infarction, or septic shock.


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