Cardiology Case Report: Nonpleuritic Chest Pain
This cardiology case report from Brady Pregerson, MD, features a patient in their early 70s presenting to the hospital with reports of shortness of breath, palpitations, and chest pain. Can you determine the correct diagnosis?
Case History:
A patient in their early 70s presents to the hospital with shortness of breath, palpitations, and chest pain starting around 9 AM. The chest pain was left-sided, radiated to the left arm, was nonpleuritic, and lasted for about 2 hours before it gradually resolved. She denies any pain on inspiration, leg swelling or pain, syncope, fever, cough, or other complaints.
Exam:
Vital signs are normal except for tachycardia. The physical exam is otherwise normal.
An ECG is Performed:
Computer Read: ST at 118, IRBBB, ST and T wave abnormal, consider lateral ischemia
What is the most likely cause of the ECG findings in this patient?
