Looks can be deceptive

Author: Syed Rahil / Editor: Sarah Edwards / Reviewer: Syed Rahil / Codes: CP1, SLO1, SLO3 / Published: 10/06/2022 / Reviewed: 14/02/2026

An 84-year-old man is brought to the Emergency Department (ED) by ambulance with history of chest pain. He was pre alerted as NSTEMI with ST depression in anterior chest leads. He has history of central chest pain for past 4 hours. Pain score is 9/10 despite Aspirin 300mg, GTN and Morphine by paramedics prior to arrival in the ED.

He has past medical history of hypertension for which he is taking medications. He is otherwise in good health and denied any other medical problems.

His examination findings and vitals are as follows:

• Temp. 36.9 C
• PR- 64/ min, regular
• BP- 162/ 72 mm Hg
• O2 saturation- 98% on room air
• Heart and lungs examination was normal.