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Infection and DKA, then sudden dyspnea while in the ED

Dr. Smith's ECG Blog

Patient stated that he has had glucose over 400 even though he has not missed any doses of insulin.

ED 97
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A Tough ECG, But Learn From It!

Dr. Smith's ECG Blog

So I went to look at the chart and here is the history: This patient with no h/o CAD had a couple of episodes of chest pain during the day, then presented with one hour of substernal chest pain that had some reproducibility but also improved from 10/10 to 5/10 with nitroglycerine. Ann Emerg Med 1998;31(1):3-11.

STEMI 52