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Wellens' is a syndrome of a painless period following an anginal (chestpain) event. Chestpain, SOB, Precordial T-wave inversions, and positive troponin. She also complained of generalized weakness, lightheadedness, diaphoresis, chestpain, and cough. What is the Diagnosis? She was discharged and did well.
The pacing rate was increased without clinical improvement and the patient was transferred to the ICU for closer monitoring/treatment. Therefore — Just because a patient remains awake and alert with an adequate bloodpressure for an extended period of time does not rule out the possibility sustained VT.
Compartment pressures in the right calf were all 40-50 mmHg. At that time his diastolic bloodpressure was also hovering between 45 and 55 mmHg. Upon arrival in the ICU, before getting Continuous Veno-Venous Hemodialysis (CVVHD), his potassium had risen again to 7.8
He denied any chestpain or shortness of breath and stated he felt at his baseline yesterday prior to drug use. On arrival in the ED, he was hypotensive with a systolic bloodpressure in the 70s. They recommended repeating his ECG and awaiting troponin since the patient did not have any chestpain.
He played a round of golf a week prior and felt an episode of chestpain during the round, which spontaneously resolved. On presentation, he reported no chestpain or shortness of breath. Orthostatic bloodpressures were recorded and confirmed orthostatic hypotension. Does this patient have ACS Symptoms?
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