TY - CHAP M1 - Book, Section TI - SCREENING PROCEDURES AND TESTS FOR THE DIAGNOSIS OF CAD IN WOMEN A1 - Mentzer, Gina A1 - Dickerson, Jennifer A2 - Gulati, Martha Y1 - 2016 N1 - T2 - Color Atlas and Synopsis of Women's Cardiovascular Health AB - A 53-year-old woman with a history of hypertension (HTN), diabetes mellitus Type 2 (Type 2 DM), and tobacco abuse presents to urgent care for symptoms of nausea, chest tightness, and bilateral shoulder pain. The discomfort started 4 hours ago and was not relieved with aspirin or antacid. She had recently been going to a chiropractor for pain in her neck and shoulders, which had been persisting over the past week, but felt this pain was more intense. Her blood pressure was elevated to 165/84 mm Hg and pulse to 93 beats per minute (bpm). Physical examination was unremarkable for cardiac findings with a normal S1 and S2, no rubs, murmurs or gallops, no pulmonary abnormalities, and no signs of heart failure. Further evaluation demonstrated no arrhythmias or acute ischemic changes on a normal-appearing electrocardiogram (ECG). Biomarkers for ischemia were negative. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/20 UR - accesscardiology.mhmedical.com/content.aspx?aid=1128087791 ER -