Background: Hyperlipidemia is a recognized risk factor for incident acute myocardial infarction (AMI) and acute decompensated heart failure (ADHF), and no such documented association with pneumonia. However, the influence of hyperlipidemia on long-term mortality after AMI, HF, or pneumonia has not yet been fully understood. The objectives are to estimate the effect of hyperlipidemia and [...]

Case Presentation: A 68-year-old woman with a history of hypertension and possible interstitial lung disease presented with one week of worsening midsternal chest pain, diaphoresis and nausea. Initial vitals were unremarkable. Exam revealed bibasilar crackles but no murmur, gallop, elevated jugular venous pressure or abdominal tenderness. An electrocardiogram showed no acute ischemic changes. Initial troponin [...]

Case Presentation: A 23-year-old male college student with no PMH or significant FH presented to the ER with a 12hr history of recurrent substernal chest pain associated with diaphoresis, dyspnea, nausea and vomiting. Initial vitals were BP 129/82mmHg, HR 94 bpm, RR 18 breaths/min, SpO2 100% on RA and afebrile. No significant findings on examination. [...]