# Phantom Arm Pain and Tinnitus in a Patient with ST-Segment Elevation Myocardial Infarction: A Case Report

## TL;DR

A patient with a missing arm experienced phantom pain and worsened tinnitus during a heart attack, highlighting unusual symptoms of heart disease.

## Contribution

Reports a rare case linking phantom limb pain and tinnitus exacerbation with STEMI.

## Key findings

- Phantom arm pain and tinnitus exacerbation occurred alongside classic STEMI symptoms.
- Symptoms resolved after stent deployment, suggesting a possible connection to cardiac events.

## Abstract

We present the case of a patient with the unusual occurrence of phantom arm pain and an acute exacerbation of chronic tinnitus during an ST-segment elevation myocardial infarction (STEMI).

A 56-year-old man was having several classic symptoms associated with acute coronary syndrome, along with perceived pain in an arm lost years earlier in a traumatic accident and a sudden worsening of his chronic tinnitus. Emergency medical services responded and diagnosed a STEMI on scene. A 100% occlusion of his right coronary artery was rapidly identified in the hospital and treated with the deployment of two drug-eluting stents. After the procedure his symptoms resolved. He was discharged without incident two days later.

Whereas arm pain is a well-documented presenting symptom of acute coronary syndrome, phantom limb pain and exacerbation of tinnitus have been rarely reported in the literature.