Small is beautiful | 123sonography

Small is beautiful | 123sonography: A 70-year-old patient was admitted to our emergency department with chest pain. He had experienced severe pain in the mid-chest about one hour earlier, radiating to the neck and back, accompanied by nausea. His hypertension was under treatment with an ACE inhibitor. In the emergency room his blood pressure was 130/60 mmHg. A faint diastolic murmur was heard at the base of the heart. The initial ECG showed sinus rhythm at a rate of 60 bpm without ST segment elevation. Non-STEMI, right? True: his pain subsided after standard medical treatment including nitroglycerin. His blood test was normal and the high-sensitivity cardiac troponin assay was negative. The patient was transferred to the coronary care unit, awaiting a coronary angiography to be performed the next day. It seemed another boring non-STEMI case