RT Book, Section A1 Mentzer, Gina A1 Dickerson, Jennifer A2 Gulati, Martha SR Print(0) ID 1128087791 T1 SCREENING PROCEDURES AND TESTS FOR THE DIAGNOSIS OF CAD IN WOMEN T2 Color Atlas and Synopsis of Women's Cardiovascular Health YR 2016 FD 2016 PB McGraw-Hill Education PP New York, NY SN 9780071786201 LK accesscardiology.mhmedical.com/content.aspx?aid=1128087791 RD 2024/03/28 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.