A 57-year-old man presents to the emergency department in the middle of the night complaining of chest pain that woke him up three hours ago. He states that he feels tightness and a burning sensation across both sides of his chest, with intermittent sharp pains that he rates as an 8/10. He also reports that both of his arms are numb and tingling, and the right side of his face has been twitching. He has not been able to go back to sleep because he is so uncomfortable…
Read MoreA middle-aged male presented in cardiac arrest. He had reportedly complained of preceding chest pain. Upon EMS arrival, his presenting rhythm was ventricular fibrillation (VF), which was refractory to multiple attempts at defibrillation. After receiving treatment for refractory VF, the patient had return of spontaneous circulation (ROSC). He was hypotensive, and ultimately required triple pressor support to maintain adequate mean arterial pressure. An initial electrocardiogram (EKG) was performed, which showed sinus tachycardia. A repeat EKG was performed one hour later, showing…
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