Case Report: Young Patient with Chest Pain

History: A woman in her mid-20’s presents to the hospital with intermittent, non-exertional, non-pleuritic chest pain for the last 24 hours associated with a very slight cough. The pain is also in her epigastric area and she did vomit twice as well. The pain episodes last from 5-45 minutes. She’s never had this before. She denies any shortness of breath, diarrhea, fever, or other complaints and has no known COVID exposures although she went to an amusement park recently.

PMH: Asthma, incidental pericardial effusion and enlarged liver noted on CT for appendicitis years ago, both of which resolved on follow-up imaging.

Exam: Vital signs are normal as is her BMI. Exam is notable for clear lungs without wheezing and mild epigastric tenderness.

An EKG is done:

Computer Read: NSR, Low voltage QRS, Borderline EKG