APPEARANCES ARE DECEPTIVE | Figure 1
josemarialobo
Family Medicine
APPEARANCES ARE DECEPTIVE
Female patient, 57 years old, with no personal history of Hypertension, Diabetes or dyslipidemia. Smoker of 5 cigarettes/day. Previous episode of SVT in treatment with bisoprolol 2.5 mg. Fibromyalgic and anxiety-depressive syndrome treated with vortioxetine 20 mg, trazodone 100 mg, lormetazepam 1 mg and lorazepam 5 mg.
She comes presenting, after a stressful situation, an episode of restlessness with insomnia and associated chest pain, without symptoms of nausea or sweating.
Sublingual lorazepam was administered with improvement of symptoms.
Exploration: Eupneica. No peripheral edema. Conscious and oriented. TA 160/85, SatO2 98%, Gucemia 86, T 36.8°C
Chest x-ray and complete blood count: normal
EKG (attached): negative T wave in aVL and flattening in I
Biochemistry: glucose (76), urea (20), creatinine (1.05), sodium (139), potassium (3.9), CK (68), CK-MB (1.10), troponins (10), fibrinogen (395)
She was admitted to the hospital observation area for the evolution of analytical parameters with the following result:
Troponins: 10>972>1694.6
Diagnosis: NSTEMI
Diagnosis added by author
NSTEMI
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