A 101 years-old woman was admitted to our Emergency Department (ED) for acute dyspnea which onset nearly two hours before presentation. She had been on hydrochlorothyazyde-amiloride therapy due to mild hypertension. [ncbi.nlm.nih.gov]

We were able to identify possible triggers of the dysfunction in five: a common cold in two, pneumothorax in one, exercise in one, and ventricular fibrillation (VF) induced by idiopathic VF in the last. [doi.org]

Microbiological examination of the sputum demonstrated an egg of P. westermani and immunological assay showed a raised antibody titre to P. westermani. [ncbi.nlm.nih.gov]

Our patient had typical substernal chest pain induced with exercise and was relieved by sublingual nitroglycerin in the Emergency Department. The pain started after 2 h of intensive Zumba workout. [ncbi.nlm.nih.gov]

A 72-year-old woman with asthma attack and retrosternal chest pain was presented to our emergency unit. She had used albuterol spray ten-times before admission due to accentuated dyspnea. [ncbi.nlm.nih.gov]

Skip to content learn bedside ultrasound, one week at a time This is a 50 year old female who presents with sudden onset retrosternal chest pain that began just after she heard of her sister’s death. [ultrasoundoftheweek.com]

On auscultation, there may be a late-peaking systolic murmur due to left ventricular outflow tract obstruction. There also may be symptoms and signs of transient ischemic attack or stroke like presentation due to embolization from apical thrombus. [ncbi.nlm.nih.gov]

Dynamic left ventricular outflow tract obstruction in acute coronary syndromes: an important cause of new systolic murmur and cardiogenic shock. Mayo Clin Proc. 1999 ; 74 (9): 901 –906. [doi.org]

On review of her history, our patient was noted to be taking spironolactone 125 mg once daily for hirsutism for the past year. Our patient denied any family history of cardiac disease or heart failure. [ncbi.nlm.nih.gov]

thrombus formation LV free-wall rupture Sato H, Tateishi H, Uchida T, et al. [emedicine.medscape.com]

Electrocardiogram showed right axis deviation, poor R-wave progression, and diffuse ST-segment elevation in the anterior leads, and cardiomegaly was observed by roentgenogram. [ncbi.nlm.nih.gov]

This demonstrates resolution of ST-segment elevation, and now with diffuse T-wave inversion and poor R-wave progression. [emedicine.medscape.com]

Distribution of ST elevation was similar, but patients with anterior STEMI exhibited greater ST elevation. [ncbi.nlm.nih.gov]

elevation in II, III, aVf, V3, V4, V5, V6 4 Chronic emphysema Pneumothorax Chest pain, dyspnoea ST elevation in V1, V2, V3, V4, V5, V6 5 None Effort Chest oppression ST elevation in I, II, aVL, aVf, V2, V3, V4, V5, V6 6 None Cold Chest pain ST elevation [doi.org]

ST-segment elevation was reported in 81.6% of the patients, T wave abnormalities in 64.3%, and Q waves in 31.8%. Cardiac biomarkers were usually mildly elevated, as reported in 86.2% of the patients. [academic.oup.com]

abnormalities or Q waves 5 (Figure 5 ). [doi.org]

Electrocardiographic findings were as follows: inverted or flattened T waves (100%); QTc prolongation 0.45 seconds (90.0%); ST segment elevation (60.0%); and ST segment depression (20.0%). [ncbi.nlm.nih.gov]