Chest Pain and Hemodynamic Instability in a Young Woman

Nikesh Raj Shrestha1, Stéphane Cook2, Jean-Jacques Goy2

  • 1Department of Cardiology, Neuro Cardio, and Multispeciality Hospital, Biratnagar, Nepal.

JACC. Case Reports
|September 10, 2021
PubMed

Insights

A young female experienced rapid hemodynamic instability and a fatal outcome. Diagnostic options for significant electrocardiographic modifications are presented.

Area of Science:

  • Cardiology
  • Critical Care Medicine

Background:

  • Sudden hemodynamic instability can rapidly lead to fatal outcomes.
  • Electrocardiographic changes are crucial indicators of cardiac events.

Purpose of the Study:

  • To present a case of severe hemodynamic instability and fatal outcome in an 18-year-old female.
  • To discuss diagnostic options for significant electrocardiographic modifications in critical cases.

Main Methods:

  • Case report of an 18-year-old female patient.
  • Analysis of electrocardiographic findings.
  • Review of diagnostic and therapeutic options for hemodynamic instability.

Main Results:

  • The patient presented with severe hemodynamic instability.
  • A fatal outcome occurred within 6 hours of hospital admission.
  • Significant electrocardiographic modifications were observed.

Conclusions:

  • Rapid recognition and management of hemodynamic instability are critical.
  • Electrocardiography plays a vital role in diagnosing acute cardiac events.
  • This case highlights the importance of prompt diagnostic evaluation in critical care settings.

Related Concept Videos

Angina III: Clinical Manifestations and Assessment01:29

Angina III: Clinical Manifestations and Assessment

Angina manifests as chest pain, tightness, or squeezing discomfort typically located behind the breastbone. It can radiate to the neck, jaw, shoulders, and inner aspects of the upper arms, most commonly the left arm. Patients may experience shortness of breath, fatigue, profuse sweating, dizziness, indigestion, heartburn, palpitations, anxiety, and vomiting as accompanying symptoms. This pain often lasts a few minutes and is triggered by physical exertion, emotional stress, heavy meals, or cold...
58
Angina V: Nursing Management01:20

Angina V: Nursing Management

Angina, a symptom of myocardial ischemia, requires a structured nursing management approach to ensure effective care and prevent complications like myocardial infarction. Comprehensive nursing care involves assessing, diagnosing, planning, implementing interventions, and evaluating outcomes, all tailored to the individual patient's needs.Patient AssessmentNursing assessment begins with a detailed subjective evaluation of symptoms, which typically include chest pain or pressure radiating to the...
90
Pulmonary Embolism I: Introduction01:29

Pulmonary Embolism I: Introduction

Pulmonary embolism (PE) occurs when a thrombus, fat or air embolus, amniotic fluid, or tumor tissue blocks one or more pulmonary arteries. These blockages originate in the venous system or the right side of the heart.EtiologyPE primarily arises from deep vein thrombosis (DVT) and other hypercoagulable states, such as inherited thrombophilias. Additional etiological factors include venous stasis, commonly seen in obesity, and endothelial injury from surgery and trauma. Less common causes include...
192
Imaging Studies for Cardiovascular System I:Echocardiography01:17

Imaging Studies for Cardiovascular System I:Echocardiography

Cardiac imaging studies encompass a wide range of noninvasive and minimally invasive techniques designed to visualize the heart's structure and function in detail. One such technique is echocardiography, which uses high-frequency ultrasound waves to produce detailed images of the heart, known as echocardiograms.
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion,...
525
Introduction Cardiac Emergencies01:30

Introduction Cardiac Emergencies

Cardiac emergencies are critical situations involving the heart that require immediate medical intervention to prevent severe complications or death. These emergencies often arise from underlying heart conditions that impair the heart's ability to function correctly.Types of Cardiac EmergenciesThe most common types of cardiac emergencies include Acute Coronary Syndrome (ACS), myocardial infarction (MI), cardiac arrest, and heart failure.Acute Coronary Syndrome (ACS)Acute Coronary Syndrome (ACS)...
72
Acute Coronary Syndrome V: Nursing Management01:26

Acute Coronary Syndrome V: Nursing Management

Nursing Assessment:Nursing management of acute coronary syndrome (ACS) involves taking the patient's history, focusing on primary complaints such as chest pain, dyspnea, and excessive sweating (diaphoresis), as well as other symptoms like back or jaw pain, nausea, vomiting, palpitations, dizziness, and fatigue. The nurse also reviews the patient's history of cardiac events, risk factors such as hypertension, diabetes, smoking, family history, and current medications.In the objective assessment,...
73