A 62-year-old woman was brought into the admission room with complaints of severe burning retrosternal pain and asphyxia. She has a 10-year-long history of essential hypertension. Objectively her condition is moderately severe. She presents with skin pallor, cyanotic lips, and vesicular respiration over her lungs. The II heart sound is accentuated over the aorta. Blood pressure – 210/120 mm Hg, heart rate (pulse) – 76/min. ECG shows elevation of ST segment in the leads I. AVL, and V5-V6. What is the most likely diagnosis?

Answer options

1. Uncomplicated hypertensive crisis
2. Hypertensive crisis complicated with acute myocardial infarction
3. Hypertensive crisis complicated with unstable angina pectoris
4. Pulmonary embolism
5. Hypertensive crisis complicated with acute left ventricular failure

Explanation

A 62-year-old woman was brought into the admission room with complaints of severe burning retrosternal pain and asphyxia. She has a 10-year-long history of essential hypertension. Objectively her condition is moderately severe. She presents with skin pallor, cyanotic lips, and vesicular respiration over her lungs. The II heart sound is accentuated over the aorta. Blood pressure – 210/120 mm Hg, heart rate (pulse) – 76/min. ECG shows elevation of ST segment in the leads I. AVL, and V5-V6. What is the most likely diagnosis?History of hypertension, additional symptoms indicate “uncomplicated HC” was not indicated & ST-segment elevation indicates MI. Angina in women Nausea. Shortness of breath. Abdominal pain. Discomfort in the neck, jaw, or back. Stabbing pain instead of chest pressure.