CXR: B/L lung field opacification CT chest(without contrast): Nodular confluent consolidations Lower extremeties ultrasound : Negative for DVT
Reperfusion in the coronary arteries following acute occlusion leads to myocardial edema, which creates the Wellens pattern on the EKG
Troponin increased to 1380 EKG:Wellens pattern Echo: Moderate concenteric LVH, akinetic apex , LVEF:55-60%
Troponin X EF
What preparations will you make for the patient?
Troponin
EF
Patient underwent cardiac cathetrization revealed diffuse stenotic coronary artery disease.
relatively low
relatively low
Takotsubo
low
ACS
very high low maintained
Acute Coronary Syndrome
Take-Home Point: Always perform an EKG in patients presenting with upper abdominal pain, regardless of age, as it can be a referred symptom of cardiac ischemia.
Made with FlippingBook. PDF to flipbook with ease