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:
- 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?
About the Author
Reyus Mammadli is the author of this health blog since 2008. With a background in medical and biotechnical devices, he has over 15 years of experience working with medical literature and expert guidelines from WHO, CDC, Mayo Clinic, and others. His goal is to present clear, accurate health information for everyday readers — not as a substitute for medical advice.
