Key result
A 48-year-old man presents with chest pain, unilateral weakness, V3-V6 ST elevations, and elevated troponin.
Case Report (n=1)
This case highlights the clinical presentation of simultaneous acute myocardial infarction and neurological deficits, evaluated via multimodality imaging.
A 48-year-old man with a history of diabetes mellitus and hypertension presented to the emergency department with 1 day of anterior chest pain. Shortly after the onset of chest pain, he noticed weakness in his left arm and leg. Physical examination was notable for weakness of the left arm and leg compared with the right. His electrocardiogram demonstrated ST elevations in leads V3 to V6, and his serum troponin I level was markedly elevated. Bedside cardiac ultrasonography (Fig 1 and Video) and magnetic resonance imaging of the brain (Fig 2) were performed.
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Ryan et al. (2025) conducted a case report in Chest pain and unilateral weakness (n=1). A 48-year-old man presented with anterior chest pain and unilateral weakness, with ECG showing ST elevations in V3-V6 and markedly elevated troponin I.
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