A 63-year-old man with fatigue, mild dyspnea and cough for two days

Summary

The case

History:

• No smoking
• Hypertension
• No diabetes

For two days:

• fatigue
• weakness in both arms
• light dyspnea
• non-productive cough
• denies chest pain
• no fever

Physical:

• Pale, greyish, cold wet extremities
• BP 168/99 P 79
• 36.5 °C
• Respiratory rate: 12-20
• sO₂ 80 % rasing to 100% under 15L/min O₂
• Heart: regular, no murmur
• Lungs: bilateral basal inspiratory crepitations

Pre-hospital ECG:

• ST-elevation V1-V4
• Urgent transfer for primary PCI

Watch how Dr. Alberto Somaschini is reviewing the case after he discovered it with Prof. Christiaan Vrints.