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Chest Pain Sent Home - The Cardiac Miss | Episode 85

The diagnostic delay series closes with the cardiac miss: a patient who came to the emergency department with chest pain, got a workup, went home, and collapsed within days.

Michelle Carroll explains why these charts look reasonable at first read and what the record usually shows underneath. A single troponin, drawn before heart muscle damage had time to register, treated as a clean negative. An EKG that was read as normal when up to a third of heart attacks have a normal EKG. A risk score that was never calculated, or calculated with the patient’s diabetes and hypertension left out.

She…

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