Abstract
A 68-year-old woman was transferred to this hospital because of substernal chest pain. An ECG showed evidence of MI. Coronary angiography was performed, with stenting of an occluded coronary artery. On the fourth hospital day, hypotension, bradycardia, and cardiac arrest occurred, and the patient died.
Highlights
If the patient had reported her symptoms to the staff and a physician had been on board, the differential diagnosis would have included angina pectoris from coronary artery disease, a pulmonary embolus, atypical chest pain with a musculoskeletal origin, an aortic dissection, and other less probable causes
If the level of suspicion for an acute coronary syndrome, a pulmonary embolism, or acute aortic dissection had been high, the plane would have landed and the patient would have been transported to a hospital as quickly as possible
The echocardiogram obtained on the first hospital day revealed regional dysfunction of the left ventricle in the territory supplied by the left anterior descending (LAD) artery (Videos 4 and 5)
Summary
Richard C., Nancy Lee Harris, Jo-Anne O.
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
