1.) A 59yo male was brought to the ER by paramedics (EMTs) after experiencing an

Question

1.) A 59yo male was brought to the ER by paramedics (EMTs) after experiencing an episode of chest pain (CP) while shoveling snow. He describes his CP as crushing, tight feeling that radiates to his left arm and jaw. He denied similar prior chest pain episodes and no loss of consciousness.

A) What type of heart disease is this patient experiencing?

B)   How would you make the diagnosis of an acute myocardial infarction (AMI)?

C) What are the cardiac and non-cardiac differential diagnosis of chest pain? (Each student should name one from each category)

Explanation / Answer

A. The patient is suffering from myocardial infarction.

B. Blood test can be conducted. Levels of troponin can be detected in blood. A stress test can be conducted to see how heart responds to various stressful situations.

Angiogram can also be made.

C. Coronary angiogram and ECG.

Improper heart sounds and usually don't spread to jaws in non cardiac chest pain.

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