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Written by Pendell Meyers A man in his late 40s with several ACS risk factors presented with a chief complaint of chestpain. Several hours prior to presentation, while driving his truck, he started experiencing new central chestpain, without radiation, aggravating/alleviating factors, or other associated symptoms.
You do NOT see this in normal variant STE, nor in pericarditis. The patient was managed in the ICU and had serial troponins. At some point he returned with chestpain, and all these findings were put into place. Many MI do not have chestpain 4. link] Case continued This OMI was not seen by the providers.
Written by Bobby Nicholson, MD 67 year old male with history of hypertension and hyperlipidemia presented to the Emergency Department via ambulance with midsternal nonradiating chestpain and dyspnea on exertion. Pain improved to 1/10 after EMS administers 324 mg aspirin and the following EKG is obtained at triage.
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