Background: Unstable Angina (UA) is a common subset of Acute Coronary Syndrome (ACS) and presents as atypical chest pain without the presence of cardiac biomarkers. It accounts for nearly 550,000 hospital admissions each year in the United States [1]. Management of UA can vary depending on the physician and/or intensity of symptoms. Prior studies have [...]

Case Presentation: An 85-year-old female with a medical history of hypertension, hyperlipidemia and tobacco abuse presented to the ED with a several day history of intermittent, non-radiating substernal chest pain that occurred at rest. Physical exam revealed normal vital signs, regular cardiac rhythm, no murmurs or gallops, clear lungs, and no jugular venous distention or [...]

Case Presentation: A 27-year-old woman with history of hypertension, diabetes mellitus, hyperlipidemia, and family history of sudden cardiac death presents to the hospital with complaints of substernal chest pain and palpitations. She has a history of recurrent chest pain following multiple COVID-19 infections. Labs were unremarkable except uncontrolled glucose level. Electrocardiogram demonstrated normal sinus rhythm. [...]

Case Presentation: An 89-year-old female patient with a medical history of atrial fibrillation, TIA, and colon cancer stage IV for which she started Capecitabine three days before her presentation. She presented to the emergency department with intermittent chest pain that started the next day of starting Capecitabine. She was afebrile; her respiratory rate was 18, [...]

Case Presentation: A thirty-seven year old female with past medical history of hypertension presented with syncope and chest pain. The pain was non-exertional, substernal, pressure like, associated with lightheadedness, dizziness and shortness of breath occurring intermittently for past few days. Her father died from myocardial infarction at age forty-two and she smoked one pack per [...]

Case Presentation: A 22-year-old African-American man with no medical history presented to the emergency department after an episode of sudden onset palpitations and left sided chest pressure lasting an hour. He endorsed radiation of his discomfort to his jaw and left arm as well as accompanying diaphoresis, shortness of breath and pre-syncope. Physical examination was [...]

Case Presentation: Systemic Lupus Erythematosus (SLE) is known for its diverse clinical presentations. We present the case of a 41-year-old African American male prisoner with an initial presentation featuring bilateral submandibular, sublingual, and parotid swelling with concurrent facial angioedema and fever. The patient was presumed to have Ludwig’s Angina, yet initial treatment with broad spectrum [...]

Case Presentation: A 70-year-old Spanish speaking female was admitted to the hospital with unstable angina. Chart review confirmed that the patient was followed in the cardiology clinic for months for unstable angina and found to have elevated coronary calcium score. Cardiac catheterization was not offered to the patient due to concerns around compliance with dual [...]