Chest pain, weakness, and elevated cardiac enzymes: how would you treat?
You are making rounds in the hospital one Saturday morning when you receive a call from the emergency department saying a 68-year-old man is having chest pain, weakness, and "positive cardiac enzymes." His electrocardiogram (ECG) reading is reported as unremarkable. Because it is the weekend and no cardiology consultation is available at your hospital, the family medicine resident wants to know if you would like to admit the patient to your service or transfer him to a larger hospital. You decide that you can best make this decision by going to the emergency department and personally evaluating the patient.
Onusko
Edward
E
University of Nebraska College of Medicine, Omaha, NE, USA. edonusko@cmhregional.com
Omoruyi
Osawaru
O
D000368:Aged; D015415:Biomarkers / Q000097:blood; D001706:Biopsy; D002637:Chest Pain / Q000097:blood / Q000188:drug therapy* / Q000209:etiology; D003882:Dermatomyositis / Q000097:blood / Q000150:complications / Q000188:drug therapy*; D003937:Diagnosis, Differential; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D008297:Male; D018908:Muscle Weakness / Q000097:blood / Q000188:drug therapy* / Q000209:etiology; D009206:Myocardium / Q000201:enzymology*; D019210:Troponin I / Q000097:blood*; D020107:Troponin T / Q000097:blood*
D015415:Biomarkers; D005938:Glucocorticoids; D019210:Troponin I; D020107:Troponin T