Acute chest pain in an anxious woman

Published: 14 July 2017
Author(s): Ginna Alexandra Polania-Zuleta, Fabio Suescun-Calderon, Juan Urbano
Issue: July 2017
Section: Internal Medicine Flashcard

A 63years old woman with past medical history of hypertension, osteoporosis, dyslipidaemia and anxiety, was admitted in the emergency room with acute chest pain after a family discussion, she presented oppressive retrosternal pain 7/10 of intensity, that irradiated to the left shoulder and the left arm, she was diaphoretic, her vital signs were normal and the physical examination was unremarkable, there were no abnormalities in the electrocardiogram and the blood tests showed normal haemogram as well the renal, liver and thyroid function, the troponin I was 6.9μg/ml (normal value 0,04μg/ml), a diagnosis of Non-ST Segment Elevation Myocardial Infarction (NSTEMI) was admitted, and an angiography was scheduled.