Case Presentation A 29-year-old female presented to the emergency department with a five-day history of severe nausea, vomiting, intermittent chest pain, and palpitations. She was confirmed to be seven weeks and five days pregnant. The chest pain was described as burning and worsened with vomiting.
Emesis was bile-streaked with blood but no coffee-ground material. Medical History Hyperemesis gravidarum (HG) in previous pregnancies History of preeclampsia with severe features No previous arrhythmias detected in prior evaluations Initial Examination & Workup Confirmed intrauterine pregnancy Normal electrolyte panel and labs ECG: Multiple arrhythmias including premature ventricular and atrial complexes, ventricular bigeminy, and grouped beating patterns Management Initiated on doxylamine, pyridoxine, promethazine, and ondansetron Gradual improvement in nausea and vomiting, tolerated oral…
