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Electrocardiographic Changes with Gastric Volvulus

To the Editor: We present a case of acute gastric volvulus that caused electrocardiographic changes simulating an acute inferior myocardial infarction.An 85-year-old woman was admitted to our hospital reporting a two-hour history of incessant vomiting and midepigastric abdominal pain. Her medical history included high blood pressure, peptic-ulcer disease, hiatal hernia, and diverticular disease. There was no history of myocardial infarction. Medicines included propranolol, cimetidine, antacids, and a diuretic. Cardiac risk factors were negative except for high blood pressure. Physical examination revealed only midepigastric tenderness. A flat plate of the abdomen, as well as a chest roentgenogram, showed a hiatal . . .