Session Type
Meeting
Search Results for Chest Pain
Abstract Number: 90
Hospital Medicine 2020, Virtual Competition
Background: Chest pain and related symptoms are the number two reason patients visit emergency departments in the United States, often leading to routine hospitalization or observation. Improving utilization management of patients presenting to the emergency department with chest pain is an important goal for hospitals. Use of 5th generation troponins and risk stratifying tools can […]
Abstract Number: 123
Hospital Medicine 2020, Virtual Competition
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 […]
Abstract Number: 215
Hospital Medicine 2020, Virtual Competition
Background: Recent literature supports risk stratifying patients presenting to the Emergency Department (ED) with undifferentiated chest pain based upon the HEART score. Our institution utilizes the HEART score in a chest pain pathway. Patients with scores of 0 to 3 are typically discharged home after two negative troponins while those with intermediate scores of 4 […]
Abstract Number: 289
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Chest pain accounts for 2-5% of all Emergency Room (ER) visits. Tools like TIMI score and HEART score exist to risk stratify patients, but a low threshold for admission has been traditional because the risk of inadvertent discharge of patients with true ACS. In this study, we evaluate the yield of myocardial perfusion scan […]
Abstract Number: 371
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 15 year old female with a history of severe persistent asthma, allergic rhinitis, and eczema presented with a two day history of cough, shortness of breath, and chest pain. She was diagnosed with asthma at age 13 and had eight presumed exacerbations and five diagnoses of pneumonia since that time. She was […]
Abstract Number: 387
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 50 year old male with no past medical history presented with severe chest pain that progressively worsened over 2 days. His chest pain was described as left sided, non-radiating, and constant. He reported sore throat, headaches, and subjective fevers for the past 5 days. The patient also reported multiple family members received […]
Abstract Number: 395
SHM Converge 2021
Case Presentation: A 36 year old female with a past medical history of hypothyroidism, type two diabetes, asthma, polycystic ovarian syndrome, and bipolar disorder presents with sharp chest pain that radiates to her left neck and arm. She states that the pain started suddenly when she was sitting 10 hours ago and gets worse with […]
Abstract Number: 546
SHM Converge 2021
Case Presentation: Spontaneous coronary artery disease (SCAD)—an uncommon cause of coronary syndrome and sudden cardiac death—has been studied and described in greater detail in recent years. However, it still represents a diagnostic challenge with a high degree of uncertainty for proper management.A 37-year-old Hispanic female presented to the emergency department at another facility for sudden […]
Abstract Number: 583
SHM Converge 2021
Case Presentation: We introduce you to a 57-year-old woman with a past medical history of one pack per day of smoking for 20 years, and a premature history of CAD in her father. The patient presented to the emergency department with severe, pleuritic chest pain that began 4 days prior to admission. The patient described the pain as sudden […]
Abstract Number: 590
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 70 year-old female with hypertension and diabetes presented to the hospital with a one-day history of non-positional, left-sided chest pain associated with shortness of breath and subjective fevers. Physical exam and vitals were unremarkable. Work up included three negative troponins, EKG in normal sinus rhythm (Figure 1), and D-Dimer of 1100 ng/mL. […]