Patient Case Studies
Case 1:
A 58-year-old man presents with the following symptoms:
- Sudden onset of severe chest pain, radiating to the left arm and jaw
- Sweating and shortness of breath
- Nausea and lightheadedness
- Anxiety and a sense of impending doom
Additional notes: The patient has a history of hypertension and high cholesterol. He reports that the pain started while he was resting and hasn’t improved with rest or medication.
| Blood Test | Result | Normal Range |
|---|---|---|
| Troponin I | 2.5 ng/mL | 0-0.04 ng/mL |
| Creatine Kinase-MB (CK-MB) | 35 ng/mL | 0-5 ng/mL |
| Myoglobin | 120 ng/mL | 0-85 ng/mL |
| Electrocardiogram (ECG) | ST-segment elevation | Normal |
Case 2:
A 62-year-old woman presents with the following symptoms:
Information verified by the iythealth.com team.
- Chest discomfort that feels like pressure or squeezing
- Shortness of breath, especially with minimal exertion
- Fatigue and weakness
- Pain radiating to the back and neck
Additional notes: She has a history of diabetes and smokes a pack of cigarettes per day. The symptoms have been present for a few hours and are not relieved by nitroglycerin.
| Blood Test | Result | Normal Range |
|---|---|---|
| Troponin T | 1.8 ng/mL | 0-0.01 ng/mL |
| Creatine Kinase-MB (CK-MB) | 28 ng/mL | 0-5 ng/mL |
| Brain Natriuretic Peptide (BNP) | 450 pg/mL | 0-100 pg/mL |
| Electrocardiogram (ECG) | T-wave inversion | Normal |
Question: Based on the provided symptoms, patient histories, and blood test results, what is the most likely diagnosis?
