A case report describing the clinical presentation and abnormal electrocardiogram of a high-risk patient with severe ischemic cardiomyopathy and chest pain.
Highlights ECG vigilance in severe ischemic cardiomyopathy with chest pain; hypothesis-generating and should not yet change practice.
A case study of 70 year old male patient with a history of long standing diabetes mellitus (DM), hypertension, dyslipidemia, peripheral vascular disease, severe ischemic cardiomyopathy with LV ejection fraction of 20% and a left bundle branch block. He presented to the ER complaining of retrosternal chest pain for less than 6 hours associated with shortness of breath, orthopnea and diaphoresis. No paroxysmal nocturnal dyspnea or leg swelling.
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Alsaiedi et al. (2012) studied this question.
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