An 83-year-old man with a history of hypertension presents to the emergency department with fatigue 2 weeks after an international hospitalization where he was medically managed for a myocardial infarction (MI). His vitals and physical examination were within normal limits; however, 12-lead electrocardiogram demonstrated evidence of anterolateral MI (Figure 1). Laboratory results were notable for a N-terminal prohormone of brain natriuretic peptide of 3020 pg/mL and high-sensitivity troponins 2 h apart of 558 ng/L and 541 ng/L. A bedside point-of-care ultrasound was performed (Figure 2) and the patient was admitted to cardiology.
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Published online: August 12, 2019
Accepted: June 22, 2019
Received: June 6, 2019
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