A 56-year-old man presented to the emergency room complaining of chest discomfort. He described the discomfort as a severe, retrosternal pressure sensation that had awakened him from sleep 3 hours earlier. He had been well previously but has a medical history of hypercholesterolemia and a history of smoking 40 packs-per-year. Examination On examination, he appears uncomfortable and diaphoretic. Heart rate of 116 bpm BP is 166/102 mm Hg Respiratory rate 22 breaths/min Oxygen saturation of 96% on room air. Jugular venous pressure appears normal.
Chest auscultation reveals clear lung fields, a regular rhythm with an S4 gallop, and no murmurs or rubs. A chest radiograph shows clear lungs and a normal cardiac silhouette. The ECG is attached. What is the most likely diagnosis? How will you manage this patient? *This case is from Docplexus Editorial Team for educative purpose only Source: Case…
