Cardiovascular system

GROUP C

TRIGGER 1:

A 66-year-old male complaining of chest pain is brought to the

emergency room by ambulance. The pain began six hours ago
and has become more severe over the past hour prompting him
to call emergency services.
He describes the pain as retro-sternal, pressure-like, and non-
radiating. He endorses some mild dyspnea and nausea
accompanying the pain. He has also noted intermittent
palpitations since last evening.

FAMILY HISTORY:

Irrelevant
PERSONAL and Past HISTORY:

He has a past medical history of hypertension (not currently

under treatment) and tobacco use of one pack per day of
cigarettes for the past 30 years. He reports no allergies and no
medication use.
TRIGGER 2:

GENERAL PHYSICAL EXAMINATION:

GENERAL APPERANCE:

66 year old male conscious, alert, and looks anxious, with

excessive diaphoresis
VITALS:

 B.P: 145/92 mmHg

 R.R: 20/min
 TEMP: afebrile
 P.R: 90/min.
 JVP: Not elevated

 CVS: Normal local CV examination

TRIGGER 3:

Investigations:

Basic investigations: CBC, LFTs, RFTs, TFT: within normal ranges

Chest X ray:

Cardiac markers:

ECG:
Diagnosis:

STEMI