A 74-Year-Old Female with Multiple Episodes of Chest Pain Over a 2-Day Period

A 74-year-old female presents to urgent care complaining of two episodes of chest pain in the past 2 days. The pain is midsternal, squeezing, does not radiate, and began at rest. The patient denies associated nausea, vomiting, diaphoresis, cough, lower extremity swelling or pain. Personal medical history is remarkable for hypertension, asthma, and diabetes.

            View the ECG ordered and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.

(Case presented by Jonathan Giordano, DO, MS, MEd, The University of Texas Health Science Center at Houston McGovern Medical School.)