Fitting a Square Peg in a Round Hole: A Simple Case of Chest Pain.
| Autor: | McLean ME; St. John's Riverside Hospital, Department of Emergency Medicine, Yonkers, New York., Beck-Esmay J; Mount Sinai St. Luke's-Mt Sinai West, Department of Emergency Medicine, New York, New York. |
|---|---|
| Jazyk: | angličtina |
| Zdroj: | Clinical practice and cases in emergency medicine [Clin Pract Cases Emerg Med] 2020 Jan 06; Vol. 4 (1), pp. 1-7. Date of Electronic Publication: 2020 Jan 06 (Print Publication: 2020). |
| DOI: | 10.5811/cpcem.2019.10.44141 |
| Abstrakt: | A 39-year-old female presents to the emergency department with chest pain and shortness of breath. Her electrocardiogram suggests ST-elevation myocardial infarction, but she has no atherosclerotic risk factors. She is gravida 4, para 4, and four weeks postpartum from uncomplicated vaginal delivery. She is diaphoretic and anxious, but otherwise her exam is unremarkable. Cardiac enzymes are markedly elevated and point-of-care echocardiogram shows inferolateral hypokinesis and ejection fraction of 50%. In this clinicopathological case, we explore a classically underappreciated cause of acute coronary syndrome in healthy young women. Competing Interests: Conflicts of Interest: By the CPC-EM article submission agreement, all authors are required to disclose all affiliations, funding sources and financial or management relationships that could be perceived as potential sources of bias. The authors disclosed none. (Copyright: © 2020 McLean et al.) |
| Databáze: | MEDLINE |
| Externí odkaz: |
|