Written by Eric Tang MD. Presented on 10/30/24.
A Case of Chest Pain
A 70-year-old male with a history of hypertension, diabetes mellitus, and TIA presents with intermittent, sharp left-sided chest pain occurring at rest and during exertion for the past day. Vital signs are within normal limits.
While in observation, a repeat ECG is performed.
Cath is scheduled next day….but chest pain recurs and you record another ECG
While waiting for cath, the chest pain continues and the ECG now looks like this:
The patient receives fibrinolytic and his chest pain resolves. He feels great but his monitor alarms go off and you get another ECG….
5 days laters, the patient develops chest pain and sob. You get another ECG.
2 weeks after discharge, the patient returns to the hospital with chest pain once again.
Patient returns to the ER 3 months after discharge now with left sided weakness for 2 days. Denies any chest pain.
What type of MI does the following ECG show?
A second case of chest pain
Heart Murmur Review
Q28: Are the following valve disorders associated with systolic or diastolic murmurs?
Q29: Identify the valve disorder by murmur.
Q30: Identify the valve disorder by buzz word.
