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the County Consult

A Cook County Hospital Emergency Medicine Blog for up-to-date medicine and more.

County Coronaries: Palpitations at 2AM  

November 4, 2021

A 20 yo male with PMH of anxiety presents with one week of chest discomfort. Symptoms began just after working out and have persisted since. At one point during his exercise, he noticed his apple watch show a HR of 260, associated with a few seconds of palpitations that resolved on their own. He attributes his symptoms largely due to anxiety as he has a history of this but just wanted to make sure it was nothing else. Denies dyspnea, lightheadedness, or syncope. He denies a family hx of sudden cardiac death or cardiac problems in general and does not take any medications or use any illicit drugs. He remembers similar symptoms happening twice before over the past year. He saw his primary care doctor for this who ordered an outpatient echo, scheduled for later this year.

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In Cardiology Tags County Coronaries, Cardiology
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County Coronaries: Straining The Right Heart

October 14, 2021

63 yo male with PMH of hypertension and mild case of COVID pneumonia four months prior, presents with one week of dyspnea on exertion and dry cough. He states that he experiences significant dyspnea with simple activities such as putting on his clothes or walking from his bedroom to the bathroom. He denies any chest pain, fevers, or chills.

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In Cardiology Tags County Coronaries, Cardiology
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County Coronaries.jpeg

County Coronaries: Ischemia to Heart Block

July 22, 2021

County Coronaries: Considering Cook County ECG Cases

Case: A 56 yo male with a history of T2DM, atrial fibrillation (on metoprolol 50 mg XL q daily, not on AC), presents with 3 days of worsening chest pain, epigastric discomfort, and shortness of breath.

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In Cardiology Tags County Coronaries, Cardiology
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