11d • Case studies
🫀 Cardiac Pearl of Knowledge: Chest Pain Isn’t Always “Classic”
Chest pain doesn’t need to be crushing, central, or radiating to be cardiac.
Yesterday, I saw a patient in clinic:
• Sharp chest pain
• Non-radiating
• SOB on exertion
• Fine at rest
• Onset occurred at rest where simply standing up triggered it
• Associated nausea
• OBS all normal
• Pain lasted ~1 minute each time
• Patient could feel it in sync with his heartbeat
Not textbook.
Not dramatic.
Easy to dismiss.
But concerning.
This is a reminder that cardiac pathology doesn’t read textbooks.
We rely too much on “classic” presentations and risk missing early or atypical disease.
I’m waiting for permission to share the ECG, once I have it, I’ll post it here.
Let’s see what you think. 👀
What would be on your differential at this stage?
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🫀 Cardiac Pearl of Knowledge: Chest Pain Isn’t Always “Classic”
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