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Case 2: sent by Dr. James Alva A man in his 50s with diabetes, hypertension, and hyperlipidemia presented to the ED with chestpain and shortness of breath off and on over the past three days, with associated vomiting. All previous ECGs were identical. This was her baseline ST elevation, and I have seen this many times.
These include hypertensive disorders of pregnancy, early or premature menopause, gestational diabetes, polycystic ovarian syndrome, autoimmune or other inflammatory diseases, and breast cancer therapies. That's the only way we can give women a definitive diagnosis for what's causing their chestpain."
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