Abstract
Dr. David W. Osborne: Today's case is that of a 57-year-old man who presented to the Emergency Department (ED) with a complaint of chest pain. He was brought to the ED by Emergency Medical Services (EMS) from a local shopping mall. Upon arrival the patient appeared in moderate discomfort, describing “10 out of 10” substernal chest pressure. He reported the pain started approximately 12 hour before arrival in the ED. The patient described constant pain, which increased with exertion, and was associated with radiation to his left arm, dyspnea, mild lightheadedness, nausea, and diaphoresis. The patient had been discharged the prior day from a community hospital, also for evaluation of chest pain, with a “negative” workup.
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