40yof presented to ER with sudden onset chest pain. Had pace | Figure 1

%27%3e%3cg%20id=%27Group-14%27%20transform=%27translate(13.000000,%20103.176124)%27%3e%3cg%20id=%27Group-Copy-5%27%20transform=%27translate(0.000000,%20182.676124)%27%3e%3crect%20id=%27Rectangle-8%27%20fill=%27%23E2E0DE%27%20x=%270%27%20y=%270%27%20width=%2736%27%20height=%2736%27%20rx=%2718%27%3e%3c/rect%3e%3cpath%20d=%27M28,27.6503435%20C28,22.127496%2023.5228474,17.6503435%2018,17.6503435%20C12.4771525,17.6503435%208,22.127496%208,27.6503435%20M18,16.3472505%20C20.8165136,16.3472505%2023.099749,14.0640151%2023.099749,11.2475015%20C23.099749,8.43098783%2020.8165136,6.1477524%2018,6.1477524%20C15.1834863,6.1477524%2012.9002509,8.43098783%2012.9002509,11.2475015%20C12.9002509,14.0640151%2015.1834863,16.3472505%2018,16.3472505%20Z%27%20id=%27Combined-Shape%27%20fill=%27%23FFFFFF%27%20fill-rule=%27nonzero%27%3e%3c/path%3e%3c/g%3e%3c/g%3e%3c/g%3e%3c/g%3e%3c/svg%3e)

Deleted account

40yof presented to ER with sudden onset chest pain. Had pacemaker inserted at age 10 in Brazil for unknown reason and has not had it checked since then. Pt is also 7 months pregnant. Thoughts?

Why you should join Figure 1

Similar cases


\We had to ampute at the #Cervix to get this uterus out in two parts through small incision. Patient had chronic intermittent pain, bleeding and multiple #Fibroids-(leiomyomas)](https://app.figure1.com/case-detail/0924ce37-4b19-4e3a-b057-6d8709632ac0)


\Multiple #Endometritial implants on abdominal wall within #Peritoneum . Patient had chronic pain for 6 mos.](https://app.figure1.com/case-detail/17c98bb0-fc06-4179-842f-a2f84d18d819)


\74y/o male with no complaints. Just wasn't feeling well. Had a cardiac hx so I ran a 12 lead on a hunch. Turns out the pt took 4x 0.4 nitro and had 8/10 crushing chest pain PTA](https://app.figure1.com/case-detail/424b626c-0439-400b-a9a0-8695fd37ef63)


\Male in his 30’s, has complaint of CP on and off, no radiation of pain. Had dizzynes episodes in the past. States had same symptoms on and off for 3 years. No drugs, no alcohol, no smoking, crystal clear labs, neg cxr.](https://app.figure1.com/case-detail/5d2cbb92-8358-4921-a425-812c277cd439)


\A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis.\He had a history of hypertension, long-term smoking, and a sedentary lifestyle.\On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.](https://app.figure1.com/case-detail/ae0fe999-6875-4474-94f0-ad823dbb9b3a)


\A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets.\Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.](https://app.figure1.com/case-detail/c271070f-2bc7-4052-9895-635277e1a7d5)


\A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.](https://app.figure1.com/case-detail/48f41642-b9db-4089-b120-a94ee52328de)


\patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?](https://app.figure1.com/case-detail/2af390e1-ace8-40ed-ba1c-98fb2d72f4c5)