Table 1 Timeline table
Relevant past medical history and interventions | ||
Negative past medical history. She was taking spironolactone for hirsutism, from August–January 2016 and then May 2017–present, with initial dosing of 125 mg titrated up to 150 mg and then back down to 125 mg due to muscle fatigue. | ||
Summaries from initial and follow-up visits | Diagnostic testing | Interventions |
After 2 h into the workout, she began to feel chest pain that was substernal, pressure-like, and throbbing in nature. The pain was non- radiating, six out of ten in intensity, and associated with diaphoresis and shortness of breath. Pain was alleviated in ED when she was given sublingual nitroglycerin and intravenous morphine. | EKG, chest X-ray, echocardiogram. | Cardiac catheterization. |
Treated with a beta blocker, and angiotensin-converting enzyme inhibitor. Patient was discharged with a LifeVest (a wearable cardiac defibrillator). | ||
Follow-up visit in 1 -month with a repeat echocardiogram showed normal findings with an EF of 60–65%, thus the LifeVest was discontinued. After that visit, patient was lost to follow-up. | ||