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An Elderly Man with Worsening Chest Pressure

An Elderly Man with Worsening Chest Pressure

An 87-y/o man is seen in the ED for severe acute chest pain. PMH: 2y of intermittent worsening chest pain at rest; PAD w/ femoral artery bypass; aortic stenosis; no known coronary disease. Easy bleeding; recent derm procedure paused for heavy bleeding. Awake, alert; no pain. Vital signs, WNL; normal ECG.

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