What do you suspect Ms. X was experiencing when she reported “indigestion”? Was this true indigestion or related to her cardiac condition? Explain the pathophysiology behind this pain    Think about the normal or typical presenting signs of myocardial Infarction. What is atypical in Ms. X’s symptoms? How does this affect treatment and prognosis?    What serum enzyme and electrolyte levels do you anticipate being checked in the ED. How are these levels related to the changes happening in Ms. X’s cardiovascular system?

s. X, age 55 years, has been complaining of severe fatigue and “indigestion” on and off, but it seems to be getting worse over the…