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Case Report
Cervical spondylosis mimicking cardiac angina
1 Assistant Professor, Department of Community Medicine, Melaka Manipal Medical College (MMMC), Manipal Academy of Higher Education (MAHE), Melaka, Malaysia
2 Associate Professor, Department of Internal Medicine, SEGi University, Sibu, Sarawak, Malaysia
3 Professor, Department of Community Medicine, Melaka Manipal Medical College (MMMC), Manipal Academy of Higher Education (MAHE), Melaka, Malaysia
Address correspondence to:
Mila Nu Nu Htay
Complete Mailing Jalan Padang Jambu, Bukit Baru, Melaka; Department of Community Medicine, Melaka Manipal Medical College (MMMC) Melaka, 5150,
Malaysia
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Article ID: 100050Z09MH2019
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How to cite this article
Htay MNN, Ni H, Moe S. Cervical spondylosis mimicking cardiac angina. J Case Rep Images Med 2019;5:100050Z09MH2019.ABSTRACT
Introduction: Cervical angina is caused by the disorder of intervertebral disc between the cervical vertebrae. The patients may present with symptoms of chest pain, radiating to ipsilateral upper limb. Since the clinical presentations are similar with the other pathological conditions, cervical angina is often overlooked in the clinical setting.
Case Report: A 53-year-old lady, a nonsmoker, presented to the hospital with chest pain for 11 weeks. The pain was intermittent, constricting in nature and lasted for two to three hours associated with left upper limb tingling sensation. Apart from herpes infection over her left chest 20 years ago, she has no previous history of hypertension, diabetes mellitus or dyslipidemia. Initially, she was treated with pain killers, antibiotics and antiviral drugs at different clinics, however, her chest and back pain were not relieved. Her ECG, echocardiogram and lipid profile were normal. Magnetic resonance imaging (MRI) revealed degenerative changes of cervical spine with moderate to severe left neural foramen stenosis compressing left C6 and C7 nerve roots. She was treated with acupuncture and medications which relieved the pain.
Conclusion: Cervical angina accounts for approximately about 50% of the patients presenting with angina like chest pain and a strong sense of suspicion is essential in patients with inadequately explained chest pain.
Keywords: Acupuncture, Cervical angina, Cervical spondylosis, Disc protrusion, Radiculopathy
SUPPORTING INFORMATION
Author Contributions
Mila Nu Nu Htay - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Han Ni - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Soe Moe - Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2019 Mila Nu Nu Htay et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
