Session Type
Meeting
Search Results for Acute Coronary Syndrome
Abstract Number: 140
Hospital Medicine 2020, Virtual Competition
Background: Postmyocardial Infarction Syndrome (PMIS), also called Dressler syndrome or Post-pericardiotomy Syndrome, refers to a heterogeneous group of autoimmune-mediated conditions of pericardial, epicardial and myocardial inflammation following myocardial infarction. Generally considered to be rare in the reperfusion era, the features and risk factors of PMIS are less well characterized in the contemporary era. This study […]
Abstract Number: 300
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: HEART and TIMI risk scores that include 12-lead electrocardiogram (ECG) changes and troponin I (cTnI) have been used to stratify patients presenting with chest pain that may indicate the presence of an acute coronary syndrome (ACS). It has been shown that the 12-lead electrocardiogram (ECG) can be derived (dECG) from 3 measured leads displayed […]
Abstract Number: 386
SHM Converge 2021
Case Presentation: A 60-year-old man with type 2 diabetes presented with dyspnea and chest pain for 5 days during the COVID-19 pandemic. He arrived in acute hypoxic respiratory failure, with an oxygen saturation of 45% on room air. Physical exam revealed coarse lung sounds bilaterally and accessory muscle use. Initial labs were notable for leukocytosis […]
Abstract Number: 421
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 38-year-old male presented to the hospital with fatigue and progressive exertional dyspnea. He had a childhood history of Kawasaki disease (KD) with no treatment or subsequent follow up. Physical exam revealed marked volume overload, JVD, bibasilar crackles, and an S3 at the left ventricular apex. EKG was unremarkable. Chest x-ray showed pulmonary […]
Abstract Number: 426
SHM Converge 2023
Case Presentation: Pharyngeal pain is typically associated with upper respiratory tract pathology; rarely is it considered the initial presentation of acute coronary syndrome (ACS). Delayed diagnosis and treatment of ACS in such cases can lead to poor patient outcomes and increased mortality (1). A 76-year-old male with a medical history of benign prostate hyperplasia and […]
Abstract Number: 530
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 32 year old female presented with 2 month history of acute onset pressure-like chest pain occurring after yelling at her children and radiating to the back. The symptoms recurred and become progressive while doing house chores. The pain was relieved by rest. Family history was positive for premature coronary artery disease, dyslipidemia […]
Abstract Number: 538
SHM Converge 2023
Case Presentation: A 70-year-old woman with a past medical history of CKD stage IV, nephrolithiasis, Crohn’s disease presented to the Emergency department for two weeks of nausea, anorexia, dehydration, fever, chills, lightheadedness with right upper quadrant pain. Upon admission the patient was in shock, differentials included septic vs cardiogenic. BNP was 354 pg/mL and troponin […]
Abstract Number: 631
SHM Converge 2021
Case Presentation: A 54-year-old female with no significant past medical history presented with lip swelling and shortness of breath following shellfish ingestion. She denied chest pain. Due to concern for angioedema, she received intramuscular epinephrine, intravenous methylprednisolone, diphenhydramine and famotidine. A 12-lead electrocardiogram revealed 2 mm ST segment elevation in leads II, III and aVF […]
Abstract Number: 660
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 68 year old male with a history of severe hemophilia (factor VIII <1%) and hypertension presented with symptoms of nausea, vomiting, severe dyspnea, diaphoresis and substernal chest pain for several days prior to admission. On initial presentation, electrocardiogram revealed ST-segment depressions in leads V5 and V6, with a troponin elevation to 24, […]
Abstract Number: 715
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 40 year-old female with history of pulmonary embolism during pregnancy presented with sudden onset of substernal chest pain and shortness of breath, which began an hour after she finished a rowing class. She also experienced nausea and left hand numbness and tingling. On presentation, vital signs were within normal limits and physical […]