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David Didlake Acute Care Nurse Practitioner Firefighter / Paramedic (Ret) @DidlakeDW Expert contribution by Dr Robert Herman @RobertHermanMD @PowerfulMedical (Chief Medical Officer) An adult male called 911 for new-onset epigastric burning. Learning points 1] Acute Coronary Syndrome has many shades of clinical manifestation.
David Didlake Firefighter / Paramedic Acute Care Nurse Practitioner @DidlakeDW Peer review and commentary by Dr. Steve Smith [link] @SmithECGblog It is early-summer, approximately 1330 hours, no cloud cover overhead, and 86 degrees with high humidity. Type II MI), however decided to pursue coronaryangiogram out of an abundance of caution.
He was transitioned to oral heartfailure medications and discharged home slightly over one week after presentation. He was readmitted a few weeks later for a heartfailure exacerbation, diuresed, and discharged again. The last information available is that the patient was undergoing heart transplant evaluation.
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Coronary Angiogram 
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