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She contacted her neighbor, a nurse, for help. Both the outdated 2014 AHA/ACC guidelines and the updated 2023 ESC guidelines recommend immediate invasive management of patients with uncontrolled chest pain. Her contrast enhanced echocardiogram is shown below in the parasternal short axis view. Kontos, M. Levine, G. Liebson, P.
At 0800 the cardiology fellow is called to the bedside by the nurse as the patient again complains about 4/10 chest pain. No further echocardiograms were available after cath. Thats really all pericarditis is good for. A repeat troponin T drawn 8 hours after pain onset is 0.07 ng/mL (mildly elevated).
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