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He noted that his father died from a heartattack in his early 50s prompting his presentation to the emergency department. He reported substernal chest pressure with radiation to his left arm that started at work several hours prior to arrival and had somewhat improved since onset.
He reported a history of “Wolf-Parkinson-White” and “heartattack” but said neither had been treated. He had no previously documented medical problems except polysubstance use. Serial ECGs enhance the diagnosis of acute coronary syndrome. American Heart Journal , 149 (6), 1043–1049. Washam, J. Peacock, W.
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