Chest pain

We're going to run through the case of a 49 year old male that presented to the ED with a two day history of chest pain and shortness of breath - it was intermittent, with no pattern and he did not really think much of it. Today the pain had changed, it had become constant and more severe. He described the pain as central and heavy. It had been ongoing for about 45 minutes and was about 5-6/10 in severity. The pain came on gradually and did not radiate. There was some mild associated SOB but no nausea, vomiting, sweating, collapse. He had no previous episodes of chest pain or similar symptoms. He had no medical history, did not take any regular medications. He was a non-smoker, drank alcohol socially and denied ever taking illicit or recreational drugs. He was unaware of his cholesterol and base line blood pressure having not seen a GP for a while. There was no worrying family history. Have a listen to the podcast to see how best to manage this patient. Music by BenSound.