MARSHALL T. SCHREEDER, M.D.; JOSEPH E. HARDISON, M.D.
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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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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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