We are back to the horrors associated with the "The Nightmare Patient". The crew is tenuously attempting to rip the patient out of death’s mouth and bring him back from the roaring mouth of oblivion. Will the patient be saved? In this episode, we dive into the cardiac catastrophe. Take a journey as we discuss treatment pearls associated with atypical presentations, with a focus on Wellen's syndrome and papillary muscle rupture of the mitral valve and associated treatment PEARLS. Join me in the tough topic and take a journey with me as we explore our thinking methodology. Remember that reviews are key to help keep us high on the charts where your friends and family can find us. We couldn’t make this podcast without you. Thanks for listening!