Session Type
Meeting
Search Results for Coronary
Abstract Number: 330
SHM Converge 2021
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 […]
Abstract Number: 349
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 56 year old man presented to the emergency department with sudden onset of severe chest pain that radiated to his back. He had an initial HR of 72 and BP of 208/114. CT angiogram of the chest and abdomen revealed a large type B aortic dissection (AD). The patient was treated with […]
Abstract Number: 374
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 63-year-old female with no PMH or FH of heart disease presented to the ER with dyspnea and pressure-like central chest pain. She reported a 3-week history of cough, sore throat and rhinorrhea. On evaluation, vital signs were T 97.8°F, BP 143/85 mmHg, HR 150/min, RR 20/min and SpO297%. Physical exam was significant […]
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: 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: 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: 458
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Case Presentation: A 40 year old woman (G4P4A0) with hypertension and hypothyroidism presented with sudden onset, severe, substernal chest pain while lifting heavy garbage bag. She was diagnosed with NSTEMI in the context of typical ischemic chest pain with trending troponins and EKG with T wave inversions in anterior leads. Transthoracic echocardiography revealed apical and […]
Abstract Number: 466
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: We report here a case of a 33 year old African American female with a history of neurofibromatosis, who presented for an elective cardiac catheterization after having an abnormal stress test showing an apical perfusion defect. The left main coronary artery was not able to be cannulated on cardiac catheterization. The left anterior […]
Abstract Number: 495
Hospital Medicine 2018; April 8-11; Orlando, Fla.
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 […]