Dr. Arun Bali (General Practice) needs a second opinion on this medical case.
A 61 y/o diabetic male presents with syncope after having dyspnea after exertion. He also complaits of nausea and vomiting.
No history of any such episode in past. He is a chronic smoker. No other past history.
Temp: 98.3° F,
Pulse 120 bpm;
BP: 130/100 mmHg;
RR 31 bpm
Oxygen saturation of 93% on two liters nasal cannula.
On arrival patient was diaphoretic, tachycardic, tachypneic
ABG: pH : 7.26;
pCO2 :17 mm Hg (35-45mmgHg) and
pO2 : 115 mmHg (80-100mmHg),
troponin : 1.3 ng/mL (< 0.01 ng/mL)
Please help in the diagnosis and treatment.