Author: Abdullah Rana / Editor: Yasmin Sultan / Codes: CC1, CC2, CC7, CP1, SLO1, SLO3, VC2Published: 02/11/2022

A 54-year-old man with a history of MI (PCI x 2), Hypertension, Diabetes and Dyslipidaemia presents with acute central chest pain that started 2 hours ago while he was on his usual evening walk.

He describes the pain as “heaviness” in the chest and exactly similar to the time he had his last MI. He also says that the pain was worst at the start but has now comparatively eased off. He denies breathlessness or any nausea and vomiting.

His initial observations are all within normal range except for a BP of 178/110. His initial 12 lead ECG shows T wave inversions in leads V4-V6 and is otherwise unremarkable.

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