RT Book, Section
A1 Mantri, Nikhitha
A1 Ayyadurai, Puvanalingam
A1 Nicu, Marin
A2 Saad, Muhammad
A2 Bhandari, Manoj
A2 Vittorio, Timothy J.
SR Print(0)
ID 1168071371
T1 10 Real Cases on Valvular Heart Disease: Diagnosis, Management, and Follow-Up
T2 Patient Management in the Telemetry/Cardiac Step-Down Unit: A Case-Based Approach
YR 2020
FD 2020
PB McGraw-Hill Education
PP New York, NY
SN 9781260456998
LK accessmedicine.mhmedical.com/content.aspx?aid=1168071371
RD 2024/04/19
AB A  26-year-old  woman  presented  to  the  emergency  department  (ED)  with  chest  pain  for  1  day.  The  chest  pain  started  suddenly,  was  nonradiating,  and  was  associated  with  arm  movement.  She  did  house  cleaning  1  day  prior  to  presentation.  The  pain  was  not  relieved  by  taking  over-the-counter  medication.  She  denied  palpitations,  dizziness,  shortness  of  breath,  and  trauma.  Her  family  history  and  social  history  were  unremarkable.  On  presentation  to  the  ED,  her  vital  signs  were  stable.  On  physical  examination,  she  did  not  have  any  significant  findings  except  chest  wall  tenderness.  Her  ECG  showed  first-degree  atrioventricular  block.  Initial  laboratory  findings  were  unremarkable.  She  was  given  analgesics.  The  patient  was  transferred  to  the  telemetry  floor,  where  an  echocardiogram  was  performed,  which  showed  a  normal  left  ventricular  ejection  fraction  with  no  wall  motion  or  valvular  abnormality  and  a  small  patent  foramen  ovale  (PFO).  How  would  you  manage  this  case?