Chest pain, cocaine use and ST elevation: is it myocardial infarction?
This patient wanted to die but was afraid of pain so he decided to use drugs to kill himself. Chest pain was typical for ACS but do not forget to refer to the gold standard -- the EKG. Click to listen to Dr. Koch's discussion of the EKG. A psychiatry consult was obtained. Remember that ST elevation may also be a normal variant, reference: NEJM 2003. Click on the image to enlarge and click on the audio post link to listen.
A cocaine user with ST elevation
This patient wanted to die but was afraid of pain so he decided to use drugs to kill himself. Chest pain was typical for ACS but do not forget to refer to the gold standard -- the EKG. Click to listen to Dr. Koch's discussion of the EKG. A psychiatry consult was obtained. Remember that ST elevation may also be a normal variant, reference: NEJM 2003. Click on the image to enlarge and click on the audio post link to listen.
A cocaine user with ST elevation
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