MARSHALL T. SCHREEDER, M.D.; JOSEPH E. HARDISON, M.D.
The urge to defecate (chezonisus) (1) and defecation unlike nausea, vomiting, and diaphoresis are not known as part of the symptom complex of acute myocardial infarction. In the past 2 years we have seen six patients in whom chezonisus and defecation were either the initial or prominent symptoms of electrocardiogram-documented acute myocardial infarction. These symptoms occurred with and without associated nausea and vomiting and in patients with either acute anterior or inferior myocardial infarction. Chezonisus at times was a predominant symptom and in one instance was so intense as to result in involuntary defecation. All of the patients had substernal
SCHREEDER MT, HARDISON JE. Chezonisus and Defecation: Symptoms of Acute Myocardial Infarction. Ann Intern Med. ;84:447. doi: 10.7326/0003-4819-84-4-447
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Published: Ann Intern Med. 1976;84(4):447.
Acute Coronary Syndromes, Cardiology, Emergency Medicine.
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