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Tom is 56-year-old African American male who presented to the ED with chest pain

Tom is 56-year-old African American male who presented to the ED with chest pain radiating to his back. The pain

has been continuous for 1 hour. The patient complains of shortness of breath. The pain has not been relieved with rest. The patient’s vitals are: 99.1-98-18-198/110. The patient’s cardiac enzymes are negative. Labs results are as follows:

  • Na 134
  • K 4.1
  • Cr 1.8
  • BUN 42
  • Glucose 248
  • WBC 13.1
  • Hbg 14.1
  • Hct 44.2
  • Plt 236
  • EKG sinus rhythm no ekg changes

What is the patient’s cardiac issue?

radiating to his back. The pain

has been continuous for 1 hour. The patient complains of shortness of breath. The pain has not been relieved with rest. The patient’s vitals are: 99.1-98-18-198/110. The patient’s cardiac enzymes are negative. Labs results are as follows:

  • Na 134
  • K 4.1
  • Cr 1.8
  • BUN 42
  • Glucose 248
  • WBC 13.1
  • Hbg 14.1
  • Hct 44.2
  • Plt 236
  • EKG sinus rhythm no ekg changes

What is the patient’s cardiac issue?

 
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