ECG Challenge: Smoker With Severe Chest Pain

Philip J. Podrid, MD


May 23, 2023

A 49-year-old man with a history of hyperlipidemia, hypertension, and cigarette smoking presents to the emergency department with severe substernal chest discomfort that radiates to his throat and is associated with nausea. An ECG is obtained, and as a result he is urgently brought to the catheterization laboratory after receiving therapy with heparin, aspirin, and clopidogrel.

Figure 1.


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