Case 1:

JF is a 42-year old previously healthy farmer who presented with sudden onset central chest pain of one hour duration to the ED. The pain is associated with sweating and radiates to the left arm and jaw. The area of discomfort is about the size of the fist.

Ragavendra R. Baliga, M.D
Assistant Professor
Division of Cardiology
University Of Michigan

 

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Question 18 of 39:

Invasive arterial monitoring is preferred in this patient.

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Blood pressure should be measured repeatedly; actual frequency will depend on the severity of the illness. Although invasive arterial monitoring is preferred in the hypotensive patient, non-invasive monitoring is adequate at programmed intervals is useful, but it must be recognized that measurements may be inaccurate because of inappropriate cuff size or muscle contractions; marked peripheral vasoconstriction can result in false low readings. Furthermore, many patients report that the device is irritating and disrupts rest.
 
 
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