45 years old M patient came to ED with mild epigastric pain | Figure 1

drkhaledragab

Emergency Medicine

45 years old M patient came to ED with mild epigastric pain for 2 days, on/Off pattern, no chest pain no palpitations, vitally stable ... here is his ECG

Dx and Tx?

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63M presents to the ED with 90 min of sudden-onset chest pain precipitated by carrying a heavy tackle box for a short distance. ASA given PTA. Patient's pain was partially relieved by NTG, exacerbated by movement. Labs drawn on arrival; troponin was negative. What do you see?

Why does this male patient in early 50s with 3 months of exertional chest pain and history of previous MI attends your ER today and has a normal troponin two hours after his last chest pain? Would a highly suggestive EKG and a convincing risk profile warrant immediate ACS treatment while the patient is pain-free and repeat troponin is pending?

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