Masters Case #02: 60 Year Old Female – Chest Pain, Hx of Pericarditis

This is the second in our occasional series of Masters Cases. These are some of the toughest ECG’s we have seen and that is reflected in both the level of responses that are expected along with the depth of the discussions that will entail. For a taste of how these play out check out the conclusion to the Case #01. As with the first case, this one was also submitted by Dr. Bojana Uzelac from Serbia. Her country, along with much of the Balkans, recently experienced flooding on a scale that has not been seen in anyone’s lifetime. In an email she described it to me as: “For my 34 years I have seen war, bombing, earthquakes, fires, political revolution…We had regional floods in past and we managed to recover from them. But something like this – no one has ever seen in Serbia! I can’t explain you with words about size of our disaster…” Please keep the people there in your hearts.   A 60-year-old female presents with a chief complaint of chest pain. The pain started at rest one hour prior and was associated with shortness of breath, nausea, and weakness. At present the pain has subsided substantially although she still appears exhausted and admits: “There is some mild discomfort, but it’s not pain.” She can’t quantify the pain, but based on your experience you would assume it started off at maybe an 8/10 (she’s the stubborn type who would never admit to 10/10 pain) and is now a 1 or 2/10. Her past medical hist...
Source: EMS 12-Lead - Category: Cardiology Authors: Tags: Cases Masters Cases Bojana Uzelac Vince DiGiulio Source Type: research