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His father had a minor heartattack at the age of 63. With a negative initial troponin, this gives him a HEART score of 4. Case: You are working a shift in your local community emergency department (ED) when a 47-year-old male presents with chest pain. He has no history of coronary artery disease. AEM June 2022.
He reportedly told his family "I think I'm having a heartattack", then they immediately drove him to the ED, and he was able to ambulate into the triage area before he collapsed and became unresponsive. CPR was initiated immediately.
No family history of sudden cardiac death, cardiomyopathy, premature CAD, or other cardiac issues. No similar symptoms in the past. No prior exertional complaints of chest pain, dizziness, lightheadedness, or undue shortness of breath. He denied headache or neck pain associated with exertion. Was this coincidence?
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