50-year-old Male With Chest Pain

Clin Pract Cases Emerg Med. 2019 Oct 21;3(4):321-326. doi: 10.5811/cpcem.2019.10.45318. eCollection 2019 Nov.

Abstract

A 50-year-old male presented to the emergency department with four days of intermittent chest pain and shortness of breath, which progressively worsened in severity. Testing revealed a troponin I greater than 100 times the upper limit of normal and an electrocardiogram with non-specific findings. This case takes the reader through the differential diagnosis and systematic work-up of the deadly causes of chest pain, ultimately leading to this patient's diagnosis.