/sci/ - Science & Math

>A 65-year old man presents to ED at 1am with 90 minutes of central chest pressure that awoke him from sleep. He says he thinks he has ‘indigestion’. The pain is non-radiating, with mild shortness of breath, but no nausea, vomiting or diaphoresis. He is an ex-smoker with a 20 pack-year history. There is no previous history of IHD, diabetes, hypertension or high cholesterol.

>On arrival he looks well, with normal heart rate (54 bpm), blood pressure (127/86) and oxygen saturations (98% on room air). His pain has improved slightly with sublingual nitrates in the ambulance, although he still has some ongoing chest discomfort.