Jump to content

Urgent care to ED


Recommended Posts

A 60 y/o male went to a urgent care with shortness of breath following exercise. History of stable angina. Patient did say they had chest pain that went away after exercise unlike the SOB. Urgent care ordered a variety of test. CXR was normal. Troponin was elevated, CRP Normal, CBC normal, BMP normal. Troponin was 4.06 which the measurement we use it is normally 0.00-0.04 so it's a bit elevated. ECG showed sinus tachycardia in the mid 120s and some wide spread st depression. They were sent to us in the ED. Cardiology review the case just by phone and recommended nitro and repeat ECG every 30min and repeat troponin in 4 hours. New ECG after 2 hours was normal and troponin was trending down. Patient was given nitro and 2lpm NC for a sp02 of 91% which by 6hours patient was taken off oxygen and was able to maintain a 02 of 96-98%. Tachycardia went away with rest. SOB resolved and patient was given strict instructions to follow up with there cardiologist urgently.  So any thoughts on what happened?

Link to comment
Share on other sites

  • Moderator

a trop of 4 is 100x the upper limits of nl given the parameters you listed. That is a NSTEMI until proven otherwise...DDx includes PE with tachycardia, dyspnea, and hypoxia. Was a d-dimer done? Where I work this guy probably would have been recommended for admission for further inpatient eval, potentially stress echo, cath, etc. Hope he went home on maximal medical management with DAPT, beta blocker, statin, etc

His heart score is at least 8 https://www.mdcalc.com/heart-score-major-cardiac-events

  • Like 2
Link to comment
Share on other sites

7 minutes ago, EMEDPA said:

a trop of 4 is 100x the upper limits of nl given the parameters you listed. That is a NSTEMI until proven otherwise...DDx includes PE with tachycardia, dyspnea, and hypoxia. Was a d-dimer done? Where I work this guy probably would have been recommended for admission for further inpatient eval, potentially stress echo, cath, etc. Hope he went home on maximal medical management with DAPT, beta blocker, statin, etc

His heart score is at least 8 https://www.mdcalc.com/heart-score-major-cardiac-events

Yes we ordered a D-dimer which was neg. We also gave a dose of heparin inpatient and discharged on a MMMP (max med management plan) and recommended admission but was refused for a personal reason. 

Link to comment
Share on other sites

  • Moderator
13 minutes ago, ChrisPAinED said:

Yes we ordered a D-dimer which was neg. We also gave a dose of heparin inpatient and discharged on a MMMP (max med management plan) and recommended admission but was refused for a personal reason. 

Great, glad to hear you guys covered all the bases. Hope you had him sign out AMA as well with one of those "you may die if you leave" notations. 

  • Like 1
Link to comment
Share on other sites

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Reply to this topic...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.

×
×
  • Create New...

Important Information

Welcome to the Physician Assistant Forum! This website uses cookies to ensure you get the best experience on our website. Learn More