Here’s a really interesting case submitted by “Anonymous from Ann Arbor, Michigan.” Wolverines! 🙂 Sorry, Buckeyes.
EMS is called to the residence of a 59 year old male with a chief complaint of chest pain.
Past medical history: Dyslipidemia
The patient was given 600 mg ASA by the spouse prior to EMS arrival.
Onset: Fairly rapid during sexual intercourse
Provoke: Nothing makes the pain better or worse, not reproducible on palpation
Quality: Described as pressure
Radiate: Right arm
Time: 30 minutes prior to EMS arrival, no previous episodes
Patient is alert and oriented to person, place, time and event.
Skin is pink, warm and moist.
Breath sounds: clear bilaterally
No JVD or pitting edema.
Vital signs are assessed.
SpO2: 99 on RA
The patient was placed on the cardiac monitor and a 12-lead ECG was captured.
What is going on with the patient?
How would you treat the patient and why?