HPI:  An 86-year-old male with PMHx of MI, HTN, HLD, COPD, and CVA presents with abrupt onset chest pain, dyspnea, and nausea. Pain started a few hours ago, is non-radiating, constant, and without alleviating or aggravating factors. He was discharged yesterday after a hospitalization for influenza and pneumonia last week. He also reports cough and low-grade fevers. The following ECG is obtained:

Case ECG

 

 

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