31 y/o Male came in due to palpitations and chest discomfort | Figure 1

Case Summary

31 y/o Male came in due to palpitations and chest discomfort that came on during exercise. Pt sts he also had marijuana prior to episode. Pt sts it improved with rest, now no discomfort or palpitations in ED. Pt reports similar prior episodes in the past year. Pt reports hx of father with heart problems, sudden death around 50. Pt hx of HTN recently put on lisinopril and has been controlled. Pt used cocaine “once or twice” a few years ago, not currently. No other cardiac risk factors, though pt just recently established primary care. No other complaints. This is his EKG, he did have a peripheral white count of 17.32 with slight left shift, cxr was without cardiomegaly or any other findings, thc+ though no other drugs. No prior EKG, repeat EKG unchanged, serial troponin negative.

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