Abstract
A 50-year-old male presented to the emergency department with four days of intermittent chest pain and shortness of breath, which progressively worsened in severity. Testing revealed a troponin I greater than 100 times the upper limit of normal and an electrocardiogram with non-specific findings. This case takes the reader through the differential diagnosis and systematic work-up of the deadly causes of chest pain, ultimately leading to this patient’s diagnosis.
Highlights
A 50-year-old male presented to the emergency department with four days of intermittent chest pain and shortness of breath, which progressively worsened in severity
After the Computed tomography angiogram (CTA) of the chest was performed, the patient was taken to the cardiac catheterization laboratory for angiography, which showed an left ventricular ejection fraction (LVEF) of 10-20% with akinesis of the inferior wall and hypokinesis of the anterolateral wall of the heart, 2+ mitral regurgitation, severe pulmonary hypertension, and mild diffuse atherosclerotic disease without occlusion of any major vessels
Myocarditis has been associated with lung cancer, and we discovered a new lung mass on this patient’s imaging
Summary
A 50-year-old male presented to the emergency department with four days of intermittent chest pain and shortness of breath, which progressively worsened in severity. CASE PRESENTATION (William Fernandez, MD) A 50-year-old male presented to the emergency department (ED) clutching his chest.
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