HPI:  24-year-old male presents to the ED with chest pain. He has no known cardiac risk factors. Pain is constant for the past hour and he is noted to be diaphoretic and uncomfortable. His troponin is normal. The following ECG is obtained on arrival (ECG 1) and a repeat ECG is completed after 30 minutes for refractory pain (ECG 2):

Case ECG

 

 

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