MICA · General Practice & Urgent Care
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FICTIONAL CASE · SELF-REFLECTION WITHOUT A SCORE
A 61-year-old woman with diabetes presents with epigastric discomfort and sweating that began at rest. She now describes breathlessness. Her first ECG shows no obvious abnormality.
Does the tracing justify diagnosing a simple gastrointestinal disorder?
No. The combination of symptoms and background risk keeps acute coronary syndrome in the differential. Urgent assessment in a pathway allowing repeat ECGs and troponin interpretation according to timing takes priority. Spontaneous improvement does not prove a benign cause; consider other thoracic emergencies according to examination findings.