Authors: Stephen Ojo / Editor: Steve Corry-Bass / Reviewer: Erden Erol Unluer / Codes: CC1, CC2, CP1, SLO1 / Published: 30/12/2022
A 69-year-old male lifelong smoker presents to the Emergency Department (ED) with the history of chest pain 4 hours prior to presentation. He describes it as a band-like pain around his chest and he was sweaty, clammy, and nauseous. The symptoms have persisted all evening. One week earlier and also 3 days prior, he had a similar pain on exertion- intermittent in nature which both resolved spontaneously within 2 -3 hours. He has no medical problems.
General and Systemic Examination are unremarkable.
An ECG done at triage has been interpreted as Normal Sinus rhythm (NSR) but on review, showed a deep T wave inversion in V2 – V4 with 1.5mm (subtle) ST elevation in V2 – V3.
His Blood Tests showed normal Full blood count, Urea and electrolytes and a high troponin.
8 responses
Very nice review
Handy summary
good case
Interesting case. Never knowingly seen it.
Good recap. Easily missed
Brilliant
Really good revision
Nice Case. Seen it twice… both times spotted by somebody else before I recognised it!