Epicardial Fat Necrosis

Epicardial fat necrosis is a rare, benign, self limiting condition that can mimic more serious causes of chest pain. Case A 30 yo patient present via ambulance with a complaint of chest pain. The chest pain started at 2am in the morning and lasted all night. It was relieved with Aspirin and GTN given by…

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Atrial Fibrillation in the Emergency Department

Here are two cases of patients with Atrial Fibrillation. Would you treat them in the same way? Patient 1 is a 68 yo male presents with palpitations and vague chest tightness. He has noticed his heart racing for the last 2 hours. He has a past medical history of hypertension and smoking.His vitals are Heart…

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