Key result
A 52-year-old man with chest discomfort and ST-segment elevation presents an ECG diagnostic challenge for ACS.
Case Report (n=1)
An ECG challenge presenting a 52-year-old man with chest pain and ST-segment elevation to discuss diagnosis and management.
Alerts clinicians to ECG pitfalls in chest pain; case reports leave open broader validation.
ECG CHALLENGEA 52-year-old man presented to our emergency department with precordial chest discomfort of 4 hours' duration.The patient had been evaluated in another hospital and was presumed to have an acute coronary syndrome.He was referred to our center for primary percutaneous coronary intervention.The patient had no cardiovascular risk factors but complained of episodic palpitations in the past.The patient's vitals were stable, and the cardiovascular examination was unremarkable.The 12-lead ECG at presentation is shown in Figure 1.What is the diagnosis?How will you manage this patient?Should this patient undergo a coronary angiogram?Please turn the page to read the diagnosis.
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Bhasin et al. (2020) conducted a case report in Chest pain with ST-segment elevation (n=1). A 52-year-old man presented with precordial chest discomfort and ST-segment elevation, posing an ECG diagnostic challenge for acute coronary syndrome.
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