Thoracic outlet syndrome mimicking angina pectoris with elevated creatine phosphokinase values

N. F. Godfrey, D. G. Halter, D. A. Minna, M. Weiss, A. Lorber

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

Four patients with elevated creatine phosphokinase (CPK) values and recurrent chest pain were found to have thoracic outlet syndrome. This association of abnormal CPK levels and chest pain due to thoracic outlet syndrome has not been previously reported. Symptoms and CPK values improved with anti-inflammatory medications and/or proper posture instruction. It is proposed that CPK values become elevated by ischemic or neurologic compromise of muscles supplied by the subclavian artery or brachial plexus respectively. Accordingly, chest pain in the same dermatomal distribution as that of angina pectoris may be simulated by ischemic skeletal muscle. Thoracic outlet syndrome therefore should be suspected in any patient with chronically abnormal CPK values and chest pain in whom no other etiology can be determined.

Original languageEnglish (US)
Pages (from-to)461-463
Number of pages3
JournalUnknown Journal
Volume83
Issue number3
DOIs
StatePublished - 1983

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Cardiology and Cardiovascular Medicine

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