{"ops":[{"insert":"A 50 year old man was woken up 1 hour ago by sudden onset, severe retrosternal chest pain radiating to the jaw, neck, and left arm. He went to see his primary care practitioner, who obtained an ECG and said that he was having a \u0027heart attack\u0027.\n\nHe was then administered Aspirin and sublingual Nitroglycerin and rushed to hospital. Now, at presentation, his chest pain has subsided completely.\n\nHis medical history is unremarkable, while a full blood count and chest x-ray are normal.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-044_en.png"}},{"insert":"\n"}]}
2
Investigate
Review Initial ECG
{"ops":[{"insert":"The rate is 104 bpm, with a regular rhythm. There are ST segment elevations in leads II, III and AvF. No other abnormalities are noted.\n"}]}
Perform New ECG
{"ops":[{"insert":"The rate is 80 bpm, in sinus rhythm. No abnormalities are noted.\nA troponin-I test is performed as well; the level is 0.0 ng\/ml (normal: \u003C0.1)\n"}]}
