Sharp chest pain

Chief Complaint A 24 y/o male presents with chest tightness and sharp pain in the left side of chest radiating to left arm. He was doing exercise in the gym when he experienced this pain. History He also complains of the same pain on exertion 2 weeks ago which resolved on its own after 20 minutes. He is non smoker and drinks occasionally. Family history is unremarkable for cardiac disease but his father has psoriasis. Vital BP 140/90 mmHg, Pulse 85 beats/minute, Resp rate 19 b/m,Temp normal. P Investigations Diffuse ST-segment changes and T-wave inversions were noted in ECG. CRP 15.2 mg/L (Normal result <4 mg/L). Troponin level - 16.3 ng/ml. Treatment Advise the managment plan.

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Initially unstable angina, developed as MI. Adv Echo CD, Early thrombolysis along with antiplatelets statins nitrates nikorandil LMWH. Adv lipid profile and homocysteine level. Further CAG.

? MI .. NEED'S.. HOSPITALIZATION IN CARDIAC CARE CENTER.. CXR..STUDY.. 2D ECHO STUDY .. CORONARY CATHETERIZATION.. CARDIAC.. CT .. MRI ..

Tnx Dr Ashok Leel sir
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Unstable angina leading to MI. Needs further investigation and evaluation to conclude particularly 2 ECHO . Lipid profile etc. Keep pt under constant evaluation and regular evaluation .

Thanks Dr Kute Ankush
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? CAD ? Angina... leading to MI Should be admitted to ICCU 2D ECHO ANGIOGRAPHY WITH ALL REQUIRED HEMATOLOGICAL INVESTIGATION FOR CARDIAC PATHOLOGY UNDER CARDIOLOGIST

Thanks Dr. Sandeep Ghodekar
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Acute anginal pain was turned out to b mi Needs Hospitalisation with above mentioned treatment. Doesn't match his case with each exerciser must undergo medical check up prior to start gym??

Angina Treponin positive 2 decho Opinion of cardiologist Lipid profile angiography angioplasty or cabg

POSSIBLY ACUTE. CORONARY SYNDROME DD M. I

Anti anginal angina. Angiography

Looks like angina , myocardial infection

It may be MI kindly upload ECG,

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