Ecg Case Study

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October 9th, 2016, after being discharged just three days prior, a 44-year-old African American female presented in the emergency department with complaints of shortness of breath with minimal activity and chest pain that radiates to the back and shoulders. Vitals signs were taken and reveled a heart rate of 134, blood pressure of 219/147 and a respiratory rate 28. Observation of the patient showed that she was slightly diaphoretic and anxious. Lab work was ordered to be drawn as well as an ECG and the admission process began. Admitting diagnosis recorded was tachycardia, elevated troponin, acute exacerbation of congestive heart failure, acute chronic congestive heart failure, chest pain and pleuritic chest pain.
The patient has a past medical

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