A case report of a 76-year-old woman presenting with acute severe chest pain and symptoms suggestive of acute coronary syndrome.
Answers are grounded in this paper and cite their sources.
May inform ACS recognition in older adults; leaves open whether case reports meaningfully guide practice or research priorities.
Presentation of CaseA seventy-six-year-old woman entered the hospital because of chest pain.During the five weeks before admission she experienced nonradiating substernal pain on exertion; it was relieved by rest, but not by pentaerythritol tetranitrate therapy. An electrocardiogram taken on the day before entry showed no abnormality. Seven hours before admission persistent, severe, nonradiating substernal pain occurred, with accompanying weakness, nausea and moderate perspiration.There was no history of ankle edema or orthopnea. One year previously elevation of the blood pressure was observed.Physical examination showed an agitated, pale, obese woman in acute distress, with shallow respirations and substernal . . .
No takes yet. Share an insight, caveat, or question.
A 1961 study studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: