Author: Noordeen Sathakathulla / Editor: Fiona Mendes / Codes: CC10, CC3, SLO3Published: 19/12/2022

A 65-year-old male presents to the emergency department (ED) with a recurrent shock-like sensation experienced over his chest for the past two hours.

He has an extensive cardiac history. His ECG and chest x-ray are shown below. [Click on the images to enlarge them]

Fig. 1 ECG via LITFL
Fig. 2 Chest x-ray via Wikimedia Commons