Kofi, a 72-year-old retired civil servant, is brought to a regional hospital ED with a 4-hour history of worsening dyspnoea and hypotension. He had a pericardiocentesis 3 weeks ago at a tertiary centr…
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A 45-year-old woman, Yaa, is referred from a district hospital in the Upper East Region with a two-hour history of acute-onset severe chest pain radiating to her jaw and left arm. BP is 160/95 mmHg bi…
A 63-year-old woman, Adwoa, presents to the regional hospital A&E in Kumasi with a 2-hour history of abrupt-onset severe anterior chest pain radiating to the back. She is a known hypertensive, non-dia…
Mohammed, a 44-year-old long-distance truck driver, is brought to a regional hospital ED in Northern Ghana by his co-driver after 40 minutes of severe anterior chest pain, nausea, and sweating. His pa…
A 70-year-old woman, Yaa, is referred from a district hospital in Northern Region with a 2-day history of progressive dizziness and near-syncope. Vitals: HR 38 bpm, BP 96/60 mmHg, SpO2 96% on air, RR …
A 58-year-old man, Mohammed, is brought by family to the Komfo Anokye ED after 2 hours of severe crushing chest pain radiating to the left arm. He is diaphoretic and anxious. Vitals: BP 88/60 mmHg, HR…
A 44-year-old man, Yaw, is brought to a regional hospital ED in Brong-Ahafo by family. He has known ischaemic cardiomyopathy (EF 25%) and has had three separate episodes of defibrillated VF in the pas…
A 38-year-old woman, Abena, presents to the Korle Bu Emergency Centre with a 4-day history of severe watery diarrhoea and vomiting after eating from a street food vendor. She appears moderately dehydr…
A 64-year-old man is brought to Korle Bu emergency centre after collapsing at home. He is conscious but pale and diaphoretic. Vitals: HR 162 bpm (regular), BP 80/50 mmHg, SpO2 94% on 15 L O2 via non-r…
Kofi, a 55-year-old man with diabetes and previous CABG, presents to Korle Bu emergency centre with 6 hours of chest pain. ECG shows T-wave inversions in V1-V4. High-sensitivity troponin is 180 ng/L (…
A 52-year-old woman, Adwoa, is brought to the Komfo Anokye ED by family with sudden-onset breathlessness and near-syncope 3 hours after a 14-hour bus journey from Accra. She has no prior cardiac histo…
A 55-year-old woman, Adwoa, is seen in the A&E of a district hospital in the Volta Region. She has a BP of 210/130 mmHg discovered incidentally during a routine visit. She has no headache, no visual s…
Kofi, a 55-year-old male teacher, is brought to a district hospital in Brong-Ahafo with a 90-minute history of severe anterior chest pain and diaphoresis. His 12-lead ECG shows 4 mm ST elevation in V1…
Kwame, a 58-year-old male farmer, presents to the regional hospital A&E in Ashanti Region with a 3-hour history of severe, crushing central chest pain radiating to his left arm, associated with diapho…
A 78-year-old woman, Adwoa, is brought to the Komfo Anokye ED by her daughter who noticed her mother was 'not herself' since the previous evening. Adwoa has a history of hypertension and type 2 diabet…
A 78-year-old woman, Adwoa, is brought to the Komfo Anokye ED by her daughter after being found confused and unusually quiet at home for two days. She has a background of hypertension and type 2 diabe…
Yaw, a 54-year-old man with no known medical history, is brought to a district hospital in the Ashanti Region by his wife, who reports he has had persistent chest pain for 3 hours. He is hypertensive …
A 63-year-old woman, Adwoa, is brought to a district hospital A&E in Brong-Ahafo after 2.5 hours of severe anterior chest pain. She has no prior cardiac history and takes no regular medications. Exami…
A 58-year-old woman, Afia, is referred from a district hospital in the Ashanti Region to Komfo Anokye ED with a two-hour history of sudden severe chest pain radiating to the back. She is hypertensive …
A 62-year-old woman, Yaa, presents to the Komfo Anokye Teaching Hospital ED with a 6-hour history of chest tightness that has now resolved. She is currently pain-free and haemodynamically stable: BP 1…
Mohammed, a 47-year-old man with poorly controlled hypertension, presents to the Korle Bu emergency centre with sudden-onset tearing chest pain radiating to the interscapular region. The pain began 2 …
A 68-year-old man, Yaw, presents to a regional hospital A&E in the Ashanti Region with acute breathlessness and diaphoresis. He has a history of hypertension but takes no regular medications. Blood pr…
Yaw, a 67-year-old retired civil servant with known hypertension and type 2 diabetes, presents to the Komfo Anokye Emergency Department with a 6-hour history of palpitations and mild dyspnoea. He has …
A 58-year-old civil servant, Yaw, attends the Korle Bu emergency centre reporting three episodes of severe chest pain in the past 48 hours, each lasting 20–30 minutes and occurring at rest. He is curr…
A 58-year-old man, Kwame, is brought to the Korle Bu emergency centre by relatives after the sudden onset of tearing chest pain radiating to the interscapular region, beginning 90 minutes ago. He has …
A 72-year-old woman with chronic kidney disease (CKD stage 4) is referred from a district hospital in the Upper West Region to the regional hospital ED after being found confused at home. She missed h…
A 71-year-old man is brought to Korle Bu emergency centre 8 hours after the onset of chest pain. He is diagnosed with NSTEMI. On arrival to the resus bay: BP 78/50 mmHg, HR 124 bpm, RR 26/min, SpO2 88…
A 58-year-old man, Kofi, is brought to the Komfo Anokye ED with acute breathlessness. He has no prior cardiac history. On examination, blood pressure is 160/95 mmHg, heart rate 122 bpm, respiratory ra…
A 58-year-old woman, Akosua, is brought to the Komfo Anokye ED by her daughter with a 3-day history of profuse watery diarrhoea and generalised weakness. She has been on hydrochlorothiazide and furose…
Akua, a 58-year-old woman with a history of hypertension and type 2 diabetes mellitus, is brought to the Komfo Anokye ED by her daughter complaining of palpitations and mild breathlessness for the pas…