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37 year old acute chest pain

by on December 11, 2012

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

 

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From → Case File

5 Comments
  1. Proof that population risk factors mean nothing when you’re dealing with patients on an individual level. Nice case!

  2. Thanks for the post. Unfortunately the image is a little blurry but I would say that’s at least an anterior MI.

  3. huskerlover permalink

    Inferior

    • Of course, inferior MI, huskerlover, when I read my comment now I am feeling embarrassed. Rookie mistake. Thanks for pointing that out. :O)

  4. Anonymous permalink

    info.STEMI with reciprocal changes in right anterior.it appears RCA is evolved artery

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