Sudden Onset Of Crushing in Medicine / Internal Medicine — 58yo Man | Cardiology | SMLE Q#17152
SMLE Question #17152
Medicine / Internal Medicine
Cardiology
Objective: OBJ-163
A 58-year-old man presents to the emergency department with sudden onset of crushing central chest pain radiating to his left arm, associated with diaphoresis and nausea for the past 45 minutes. He has a history of hypertension and hyperlipidaemia and is a current smoker. Vital signs: T: 36.8 °C, BP: 148/92 mmHg, HR: 104/min, RR: 20/min, SpO2: 95% on room air. Physical examination is notable for an anxious, diaphoretic man clutching his chest; heart sounds are normal without pericardial rub, and lung fields are clear. An ECG shows above. What is the most likely diagnosis?
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