Skip to content
Aside

55 Year Old Male Chest Pain Conclusion

Called EMS for chest pain and shortness of breath, which he states woke him up from sleep.  He stated he has been having chest pain for a few days but it usually goes away after he takes his Nitro.  He does have a cardiologist whom he states he has already called.

He appears pale and slightly diaphoretic

BP 100/65

RR 20

Image

Image

Patient was a direct admission to the Cardiac Cath Lab with and Acute ST elevation inferior infarction.  Catheterization documented acute occlusion of the mid right coronary artery (RCA).  The RCA was opened with thrombectomy.

Door-to-Balloon (D2B): 26 Minutes / First Medical Contact to Balloon (E2B): 65 Minutes

55 year old male patient with chest pain

Called EMS for chest pain and shortness of breath, which he states woke him up from sleep.  He stated he has been having chest pain for a few days but it usually goes away after he takes his Nitro.  He does have a cardiologist whom he states he has already called. 

He appears pale and slightly diaphoretic

BP 100/65

RR 20

Image

57 year old male patient with Chest Pain

Patient presented to ED via local EMS with intermittent CP over past several days, acutely worse 30 minutes prior to arrival.  ED EKG showed ST-elevation in leads V1 through V3 with reciprocal depression in II, III, aVF, V5, and V6.  STEMI alert was called and patient taken emergently to the Cardiac Catheterization Laboratory.  Cath revealed 95% tubular stenosis in the proximal left anterior descending artery (LAD).  The LAD was treated with balloon angioplasty and stent.  Patient was discharged home

inferiorinferiorpic

Door-to-Balloon (D2B): 55 Minutes / First Medical Contact to Balloon (E2B):74 Minutes

67 Year Old Male Patient Chest Pain

EMS received and early morning call for a 67 year old male patient with Substernal chest pain that radiated to his jaw.  He stated he was having shortness of breath on exertion.  He denied any Nausea or Vomiting.  He stated that he has been having some chest discomfort off and on for a couple of days but the chest pain this morning is more severe and he thinks he needs to have it checked out. 

BP 120/70   Respiration’s 24

Image

ECG obtained.  Pt was treated for chest pain en route to ER with NTG and Aspirin. He stated chest pain seems to have eased up some but still present. 

At ER the patient was taken to the Cath Lab

Image

Image

37 year old acute chest pain update

Here is an update

This patient went received aspiration thrombectomy  PTCA 3.5 x 38mm stent of the RCA.

37yo3

photo2

photo3

 

 

37 year old acute chest pain

EMS responded to home of an average shape 37 year old male patient who was out jogging when he began to have some substernal chest pain that radiates to his left arm.  He stated he was having some mild shortness of breath with nausea but no vomiting.  No significant medical history and on no medications.  He stated he hesitated calling EMS but after a while he got concerned that he was not feeling any better. 

He appears anxious.  Skin is pale and moist.  Lungs clear = bilat. 

BP  100/50  RR 20  HR 56

12 lead obtained

Image

 

51 year old male with chest pain

EMS received a call to and local urgent care center for a patient transfer.  On arrival staff met EMS at the door and told them that a 51 year old male patient with a history of CAD had came in complaining of anterior chest pain that radiates to his left arm.  Acute onset of 30 minutes while he was resting.  They stated pain was an 7/10 and felt like pressure.  The stated that along with the chest pain/pressure the patient was also nauseated and was sweating.

EMS enters and find a male patient sitting on the exam table and he appeared slightly anxious.  He was on 10lpm NRB.  IV was in place in the Left AC and IV was running at KVO rate.  Staff stated the patient had received ASA 324mg, zofran 4mg and 1 NTG tablet sublingual.
12 lead was obtained

EMS crew transported this patient directly to the Cath lab.

This patient received and Aspiration Thrombectomy, PTCA with a 4.o x 15mm stent placed.

Follow

Get every new post delivered to your Inbox.

Join 3,404 other followers