Case Presentation: A 63-year-old female with paroxysmal atrial fibrillation managed with apixaban status post biventricular pacemaker implantation a year ago presented with persistent chest pain and worsening dyspnea over the past week, accompanied by bilateral lower extremity pain. She reported a persistent “poking” sensation in her chest, particularly with movement. Vitals were stable and afebrile. [...]

Case Presentation: A 64-year-old man with a history of apical hypertrophic cardiomyopathy and nonobstructive coronary artery disease (CAD) presented with acute onset non-radiating exertional chest pain localized to the precordium. His symptoms had progressed to the point of occurring even at rest. On arrival, his vital signs included a blood pressure of 112/65 mm Hg, [...]

Case Presentation: An 85-year-old female presented to the emergency department in August of this year with acute chest pain and shortness of breath. The patient was afebrile, with a heart rate of 97 bpm, a respiratory rate of 24 breaths per minute, and a blood pressure of 191/81 mmHg. Labs showed hemoglobin of 6.6 g/dL [...]