Case presentation A 61-year-old female with chest pain in the epigastric region that radiated to her back was admitted to the emergency department. She had a history of type 2 diabetes, hypertension, gastroesophageal reflux disease, and dyslipidemia. She had esomeprazole and ranitidine, which offered slight relief. However, after five hours, she developed intermittent squeezing and chest pain under the left breast. Nitroglycerin paste was applied to relieve the patient’s chest pain.
The patient had no palpitations, nausea, diaphoresis, or dyspnea. She and her family had no history of cardiac complications. Physical examination Vitals were normal. Regular cardiac rhythm with no gallops or murmurs Normal S1 and S2 Heart sounds Auscultation showed clear lungs with no wheezes, rhonchi, or rales No jugular venous distention No lower extremity edema Electrocardiography test Heart rate – 61…
