Shock, syncope, sweating… and severe chest pain!

A 67-year old male is brought to hospital following an episode of syncope at home. He had just finished eating lunch at home when he developed severe crushing retrosternal chest pain radiating to his left arm, profuse sweating and vomiting. Shortly after the onset of the pain he lost consciousness and awoke to find himself on the floor. En route, he has several brief episode of dizziness and an impalpable radial pulse.


Emergency Medicine Kenya Foundation

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