Patient, 58-year-old male, arrives with crushing substernal chest pain, profuse diaphoresis, nausea, pain radiating to the left arm, onset one hour ago.
- Crushing substernal chest pain
- Pain radiating to left arm
- Diaphoresis
- Nausea with sudden onset
- ✗ Pulmonary embolism No pleuritic component, no tachypnea, no hypoxia.
- ✗ Aortic dissection Pain not tearing; no inter-arm blood pressure differential.
- ✗ GERD Pain not postprandial and not relieved by antacids; diaphoresis is not expected.