TY - CHAP M1 - Book, Section TI - 10 Real Cases on Valvular Heart Disease: Diagnosis, Management, and Follow-Up A1 - Mantri, Nikhitha A1 - Ayyadurai, Puvanalingam A1 - Nicu, Marin A2 - Saad, Muhammad A2 - Bhandari, Manoj A2 - Vittorio, Timothy J. PY - 2020 T2 - Patient Management in the Telemetry/Cardiac Step-Down Unit: A Case-Based Approach AB - A 26-year-old woman presented to the emergency department (ED) with chest pain for 1 day. The chest pain started suddenly, was nonradiating, and was associated with arm movement. She did house cleaning 1 day prior to presentation. The pain was not relieved by taking over-the-counter medication. She denied palpitations, dizziness, shortness of breath, and trauma. Her family history and social history were unremarkable. On presentation to the ED, her vital signs were stable. On physical examination, she did not have any significant findings except chest wall tenderness. Her ECG showed first-degree atrioventricular block. Initial laboratory findings were unremarkable. She was given analgesics. The patient was transferred to the telemetry floor, where an echocardiogram was performed, which showed a normal left ventricular ejection fraction with no wall motion or valvular abnormality and a small patent foramen ovale (PFO). How would you manage this case? SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accesscardiology.mhmedical.com/content.aspx?aid=1168071371 ER -