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Echocardiogram showed dilated cardiomyopathy

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RL is a 54 yo WM who is 5'8" tall and weighs 285 pounds. He presented to the ER, being brought in by EMS, with acute shortness of breath and substernal chest pain radiating into the left side of the face and left arm. The pain subsided with NTG treatment. However, RL was not a candidate for reperfusion therapy. Blood tests show elevated Troponin and CK-MB and an INR of 2.1. A hemoglobin A1C returned with a level of 11. The EKG shows Right axis deviation and a Q wave in leads I, aVL, V5-6 with ST -T changes. An echocardiogram showed dilated cardiomyopathy with an EF of 32%.

Reference no: EM133378804

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