AI Article Synopsis
- Chest pain is a frequent reason patients visit the emergency department, but only a few actually have acute coronary syndrome, with even fewer experiencing ST-elevation myocardial infarction (STEMI) accompanied by severe complications.
- The case describes a 56-year-old woman who arrived at the emergency department with acute chest pain and was diagnosed with inferior wall STEMI, complete heart block, and hemodynamic instability.
- The management of her condition involved urgent coronary catheterization and highlighted the importance of careful evaluation, accurate diagnosis, and effective treatment strategies for such rare and critical cases.
Article Abstract
Chest pain is a common emergency department complaint, but a small percentage of patients with this complaint experience acute coronary syndrome, with a still smaller percentage having ST-elevation myocardial infarction (STEMI) with hemodynamic instability and arrhythmia. A 56-year-old female presented to our emergency department with acute chest pain. She was diagnosed with inferior wall STEMI, had complete heart block and hemodynamic instability, and underwent emergent reperfusion via coronary catheterization. This combination of signs and symptoms required thoughtful assessment and treatment along with diagnostic accuracy and proper disposition. This case offers a review of this uncommon presentation, including pathophysiology and treatment.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7897420 | PMC |
| http://dx.doi.org/10.7759/cureus.12857 | DOI Listing |
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