Author: Nauman Arshad / Editor: Fiona Mendes / Codes: CC3, CC4, CC8, CP1, CP3, SLO2, SLO3Published: 27/12/2022

A 25-year-old male presents to your Emergency Department (ED) after experiencing five hours of central sharp chest pain, shortness of breath and palpitations.

He has no past medical history and does not take any regular medications.

Vital Signs:

  • Oxygen saturation: 97% in room air
  • Respiratory rate: 20 breaths per minute
  • Heart rate: 145 beats per minute, regular
  • Blood Pressure: 138/85 mmHg
  • Temperature: 38.2 degrees Celsius

His chest is clear on auscultation. On inspection, his jugular venous pulse pressure (JVP) appears normal.

His chest x-ray is unremarkable.

His ECG is shown below1:

Fig.1 ECG1

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