Author: Mohamed Eladl / Editor: Sarah Edwards / Codes: CP1, SLO3 / Published: 12/07/2021

A 48-year-old male patient presents to the ED with central chest pain that woke him up at 2 am. He reports feeling short of breath, shivery with clamminess and sweatiness for about 40 minutes. He’s improved shortly after arriving in the hospital.

The patient reports having a brief period of exertional chest pain for a few minutes and fainting episodes while he was exercising the same afternoon. However, he denies any other symptoms of collapse, cough, haemoptysis or any respiratory symptoms or contact with anyone known to have COVID-19. He also denies genitourinary or gastrointestinal symptoms.

He is normally active with no past medical, drug or surgical history of significance.

Initial observations: Temperature 38.5 degrees Celsius, HR 125, BP 134 /67, sat 99 % RR 18 /min.

Cardiovascular and respiratory examination is unremarkable.

Electrocardiogram (ECG): showed sinus tachycardia HR 130 per minute.