Case study three: Parampreet (Preet) Singh, 55 years old with hyperlipidaemia history pravastatin 20mg nocte has presented to the emergency room with sudden onset of chest pain radiating to the left arm.

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Case study three

Parampreet (Preet) Singh, 55 years old with hyperlipidaemia history pravastatin 20mg nocte has presented to the emergency room with sudden onset of chest pain radiating to the left arm. He also reported shortness of breath and diaphoresis. a past smoking history. This incident started while he was at the gym.

On physical examination, Mr. Singh appeared uncomfortable and was clutching his chest. His vital signs showed a heart rate of 110 beats per minute, blood pressure of 160/100 mm Hg, and respiratory rate of 20 breaths per minute. Lung sounds were clear. A 12-lead ECG was taken (see picture below). Blood tests were drawn to check for cardiac biomarkers, and results showed elevated levels of troponin T. Mr Singh was diagnosed with a myocardial infarction.

GTN sublingual spray was provided and was placed semi-fowler on 2 litres oxygen. Morphine 2.5 mg was given intravenously.

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