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When Chest Pain Wasn’t a Heart Attack: A Diagnostic Journey in the Emergency Department
To share how a systematic clinical assessment helped differentiate acute coronary syndrome from a non-cardiac cause of chest pain, reducing unnecessary interventions while ensuring patient safety.
When Initial Chest Pain Tests Were Reassuring—but the Patient Was Not
Executive Summary
A man in his late 50s presented to a busy emergency department with intermittent exertional chest pain, mild diaphoresis, a normal initial ECG, and cardiac biomarkers within the reference range. Rather than discharging based on the first set of tests, the team used serial assessment, repeat investigations, bedside imaging, and specialist input. The evolving picture led to coronary angiography, which identified significant coronary artery disease and enabled timely intervention.
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