40-something y/o/w/m w/ hx HTN comes in to the ER via ambulance for H/A. Took a couple Darvocets at home without relief.
Doc sees pt...is still in room when pt proceeds to seize...
Discover pt is pulseless...v-fib...one thump, 4 shocks, and a round of drugs later, we get a rhythm back...with tombstones.
He's having an inferior MI...never had ANY chest pain, sob, n/v...NOTHING!!!!!!!!!!!!!!!
Luckily, this happened after 0600, so the cardiologist and cath lab team were in-house and got him down to the lab really fast.
He also woke up, was a/o, and breathing on his own...
Talk about being taken off guard...I'm back tonight, so I'm going to follow-up on him to see how he's doing now and what they found in the cath lab.