Shot through the heart. Wards 101 1.18.2019

At wards 101 we talked about a 50 year old female with scleroderma, pulmonary HTN, OSA and T2DM who presented to the ED with progressive SOB and new onset chest pain. She described the pain as substernal, squeezing/pressure and unrelieved with rest. EKG showed sinus tachycardia and her bedside ECHO was without gross abnormalities. Troponin … Continue reading Shot through the heart. Wards 101 1.18.2019