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A 43-year-old Female with Retrosternal Chest Pain

Sarah, a 43-year-old female with a medical history significant for smoking and obesity, presents to the emergency department with sudden onset of severe chest pain that started approximately 30 minutes ago. She describes the pain as a squeezing sensation in the center of her chest. She also reports nausea, diaphoresis, and lightheadedness. Upon arrival, her vital signs are as follows: blood pressure 150/95 mmHg, heart rate 110 bpm, respiratory rate 20 breaths per minute, and oxygen saturation 97% on room air. Physical examination reveals no abnormal findings. Her ECG shows ST-segment elevation in leads V1-V4.

This patient’s ECG show ST-elevation in V1-V4 with reciprocal ST-changes in the inferior limb leads.

Case Study Questions & Answers


Source: https://doi.org/10.3389/fcvm.2022.834676

Case Summary & Questions written by Dr Ahmed Kazie


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