A Broken Heart

Author: Hind Goriel / Editor: Fiona Mendes / Codes: Published: 01/11/2021

A 36-year-old female presents to the Emergency Department (ED) with severe central chest pain and breathlessness of 4 hours duration. She has no sweating, no nausea or vomiting. Her husband died in the Critical Care Unit earlier today.

She has no cardiovascular risk factors.


  • Oxygen Saturations 97% in room air
  • Respiratory rate 18 breaths/min
  • Blood pressure  90/75 mmHg
  • Heart rate 60 bpm
  • Temperature 37 degrees Celsius.

Oral Aspirin 300mg and titrated intravenous Morphine were given at triage.

Blood tests results:

  • Full blood count, urea & electrolytes are within normal ranges.
  • Her troponin is 15 ng/l  [normal range 0-10 ng/l]

Her ECG is shown below:

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