ECG Challenge: Mid-Sternal Pain With Exercise

Philip J. Podrid, MD


April 24, 2023

A 43-year-old man presents to his internist with reports of a sharp mid-sternal chest pain that occurs with exertion. An exercise test on a treadmill is ordered and performed. He exercises for 10 minutes and stops for leg pain. Three minutes after stopping, his heart rate suddenly decreases. An ECG was obtained.

Figure 1. Courtesy of Philip J. Podrid, MD.


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