You are evaluating a patient with the sudden onset of palpitations. You note a regular, narrow complex tachycardia at a rate of 160 bpm and suspect a reentrant tachycardia. You think "adenosine" but secretly wonder if there is a better option, or what you'll do if this fails....
For decades, Emergency Medicine Providers have struggled to come to a consensus on the management of patients with chest pain with non-ischemic ECGs and negative biomarker testing. Both cardiology and emergency medicine guidelines failed to provide a clear recommendation on which patients should be discharged from the ED. The American College of Emergency Physicians has taken a bold step with their latest guidelines for the management of low risk chest pain patients which will dramatically change standard practice in the care of possible ACS patients.
A 28-year old male with no past medical history presents with ches tpain for 2 days. The pain is pressure-like in the center of his ches tand worse with deep inspiration. He states he just got over a cold but denies recent fever or cough. An EKG is obtained. What is the diagnosis?