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73 year old female CC: Chest pain
Posted Nov 29 2010 8:52pm
EMS is called to the residence of a 73 year old female with a chief complaint of chest pain.
On arrival the patient is found sitting on the couch. She appears acutely ill.
Skin is pale and diaphoretic.
: 1 hour ago
: Nothing makes the pain feel better or worse
: Heaviness or pressure
: Pain radiates to neck and jaw
: 7/10 and persistent
: No previous episodes
Past medical history: HTN, dyslipidemia, breast CA
The patient admits to mild dyspnea but breath sounds are clear.
Vital signs are assessed.
: 98 on RA
The cardiac monitor is attached.
A 12-lead ECG is captured.
Displeased with the data quality, paramedics capture another 12-lead ECG.
What do you think is wrong with this patient?
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