Question #13: Can You Diagnose This Cardiac Emergency?

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?






Reyus Mammadli

Healthy Lifestyle Advisor

I empower individuals with practical knowledge and proven strategies for achieving optimal well-being. My approach is centered on proactive health management, disease prevention, and effective recovery, ensuring that people make informed choices for a healthier life.

With a strong focus on holistic wellness, I integrate nutrition, physical activity, and lifestyle modifications to enhance overall health and longevity. My expertise stems from a Bachelor’s Degree in Medical Equipment and Electronics, complemented by international training in first aid and survival skills.

Beyond consulting, I am also a published author, sharing insights on nutrition, fitness, chronic pain management, and disease prevention through various works. My mission is simple: to help individuals cultivate sustainable habits that promote long-term health and well-being.

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