HPI: A 36-year-old woman with a past medical history of rheumatoid arthritis presents to the ED with 3 days of waxing and waning chest tightness. The pain is pleuritic and 4/10 in intensity. It is associated with mild dyspnea. There is no diaphoresis, vomiting or radiation of the pain. She feels improved with a GI cocktail. The following ECG is obtained:

Case ECG



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