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On the basis of these findings we told her that she had suffered a heartattack. She asked me why I felt she had had a heartattack and I explained to her that she had had chestpains and the blood test indicating damage to the heart was elevated and that was all we needed to say that she had had a heartattack.
If the inflammation spreads to the surface of the heart itself, it is termed myopericarditis. About 5% of patients who present to A+E with chestpain which is not deemed to be a heartattack or angina are ultimately diagnosed with pericarditis. Acute inflammation of this sac is known as acute pericarditis.
Inflammation of pericardium as inflammation elsewhere can be painful and cause chestpain. But pericardial effusion can build up slowly without much pain. When the quantity is large enough to compress the heart, the person may feel breathless or dizzy because of a fall in blood pressure.
Written by Colin Jenkins and Nhu-Nguyen Le with edits by Willy Frick and by Smith A 46-year-old male presented to the emergency department with 2 days of heavy substernal chestpain and nausea. He reported a history of “Wolf-Parkinson-White” and “heartattack” but said neither had been treated. Is there STEMI?
ChestPain – Benign Early Repol or OMI? Written by Destiny Folk, MD, Adam Engberg, MD, and Vitaliy Belyshev MD A man in his early 60s with a past medical history of hypertension, type 2 diabetes, obesity, and hyperlipidemia presented to the emergency department for evaluation of chestpain.
No prior exertional complaints of chestpain, dizziness, lightheadedness, or undue shortness of breath. He denied headache or neck pain associated with exertion. I sent this ECG to Dr. Smith, with the only information that it is a 17 year old with chestpain. 24 yo woman with chestpain: Is this STEMI?
Written by Pendell Meyers and Peter Brooks MD A man in his 30s with no known past medical history was reported to suddenly experience chestpain and shortness of breath at home in front of his family. Chestpain, SOB, Precordial T-wave inversions, and positive troponin. Now another, with ultrasound. This is a quiz.
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