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.
Module Content
Causes and Management of Myocarditis
Myocarditis is an acute infectious or immunologically mediated syndrome causing inflammation of the heart muscle.
Syncope
This session is about assessment and management of patients presenting with transient loss of consciousness to the ED.
Chest Pain Syndromes
Chest pain is caused by a spectrum of pathology ranging from the innocent to the extremely serious.
12 Comments
Thanks
Very interesting .Thank you
Interesting case
Good case. thanks!
Forgotten Diagnosis.. Well remembered
Very interesting case, good learning point
good learning module
very interesting case
intersting
Classical presentation.
Interesting.
Thanks