HPI:  A 55-year-old man presents to the ED with intermittent chest pain. He describes transient burning sensation that comes on only after eating. His pain does not radiate, and is not associated with dyspnea, nausea, or diaphoresis. He had an episode today after eating a cheeseburger that brought him to the ED. His primary care physician has prescribed a PPI that he has yet to fill. His symptoms have resolved at time of physical exam. The following ECG was obtained:

Case ECG

Before watching this week’s video, ask yourself these questions:

  1. What ECG abnormalities do you notice?
  2. What percentage of patients with ACS have pain described as “burning or indigestion”?
  3. What percentage of patients with ACS have resolution or improvement of symptoms with antacids?
  4. How would you manage this patient?



Case Interpretation

Review Key Teaching Points



Notes: Questions for Amal? Email him at amalmattu@comcast.net or find him on Twitter @amalmattu.

Kudos: Thanks to Dr. Bill Hinckley for sharing this week’s cases!

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