Atypical Presentation of Acute Coronary Syndrome-Not ST Elevation: A Case Report

Abstract

We describe the unexpected case of a 70-year-old man, with medical history of ischemic heart disease and surgery for aneurysm of abdominal aorta, who comes to the emergency department complaining of low-back pain without other symptoms or signs of organic failure. After a few hours we see a deterioration of physical conditions with pulmonary oedema, increase of blood pressure, changing in the ECG pattern, and worsening of left ventricular function with progressive increase of biomarkers for myocardial necrosis. So this pain has revealed the premature symptom of an acute coronary syndrome (ACS). After a short time a subsequent cardiac arrest complicates the clinical situation. After resuscitation, the patient undergoes successfully to coronary angiography and performed a percutaneous transluminal coronary angioplasty (PTCA).

Assessment of sex and racial biases in electronic health records of emergency department patients with acute coronary syndrome

“…These symptoms included chest pain, dyspnea, dizziness, nausea, diaphoresis, epigastric pain, unexplained fatigue, jaw pain, palpitation, shoulder pain, abdominal pain, and coughing. [20][21][22][23] Other relevant features included were vital signs, basic metabolic panel (BMP), and age. Vital signs and BMP are routinely collected patient data that are often added as input features in ML-based models.…”

Acute Myocardial Infarction in the Setting of Pulmonary Hypertension due to a Patent Foramen Ovale and Paradoxical Embolism

“…Typically, patients present with left-sided chest discomfort or pressure that can radiate to the left neck, jaw, or arm [ 2 ]. However, atypical presentation with nonspecific symptoms, such as musculoskeletal pain, has been described [ 3 – 5 ]. In such instances, it is important to distinguish between common musculoskeletal pain and an acute MI, and prompt recognition allows for the early initiation of life-saving treatment [ 3 , 4 ].…”