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A 50-something male with hypertension and 20- to 40-year smoking history presented with 1 week of stuttering chestpain that is worse with exertion, which takes many minutes to resolve after resting and never occurs at rest. At times the pain does go to his left neck. It is a ssociated with mild dyspnea on exertion.
Written by Willy Frick A man in his 50s with history of hypertension, hyperlipidemia, and a 30 pack-year smoking history presented to the ER with 1 hour of acute onset, severe chestpain and diaphoresis. His ECG is shown: What do you think? What do you think?
Which of the vessels likely provides blood supply to the circled area in the below polar plot image in a patient with normal coronary anatomy? A 48 year-old female with hypertension, hyperlipidemia, chronic low back pain, and bilateral lower extremity neuropathy.
Crushing Chestpain, but the ECG is not obvious; later there is both RBBB and LBBB 35 yo woman with LAD occlusion manifesting with only hyperacute Ts and inferior ST depression, also missed by computer The pain increased within the first 15 minutes and this repeat ECG was obtained: What is this?
We knew only that the ECG belonged to a man in his 50s with chestpain and normal vitals. The patient was in his 50s with history of hypertension, diabetes, seizure disorder, and smoking, but no known coronary artery disease. He went inside and sat down, and the pain slowly subsided over the course of about 30 minutes.
Case submitted and written by Mazen El-Baba MD, with edits from Jesse McLaren and edits/comments by Smith and Grauer A 90-year old with a past medical history of atrial fibrillation, type-2 diabetes, hypertension, dyslipidemia, presented with acute onset chest/epigastric pain, nausea, and vomiting.
High Blood Pressure (Hypertension) Persistent high blood pressure forces the heart to work harder to pump blood. Chronic Pulmonary Disease Lung diseases like chronic obstructive pulmonary disease (COPD) can lead to pulmonary hypertension, which in turn can cause the right side of the heart to enlarge, a condition known as cor pulmonale.
Written by Pendell Meyers, edits by Steve Smith A man in his 60s with history of hypertension and MI 10 years ago, with PCI, presented to an outside hospital complaining of chestpain that started while mowing the lawn. because if it does, then urgent cath to define the anatomy is clearly indicated.
Written by Willy Frick A man in his 60s with a history of hypertension and 40 pack-year history presented to the ER with 1 day of intermittent, burning substernal chestpain radiating into both arms as well as his back and jaw. First in slow motion with a freeze frame with annotated vessel anatomy, then at normal speed.
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