HPI
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
Before watching this week's video, ask yourself these questions:
- What ECG abnormalities do you notice?
- What is your differential diagnosis for new T-wave inversions?
- What is your differential diagnosis for new right axis deviation?
- What is the most likely diagnosis?