A 49-year-old woman presents to the emergency department by ambulance after developing “crushing” chest pain
A 49-year-old woman presents to the emergency department by ambulance after developing “crushing” chest pain and palpitations. Past medical history is significant for hypertension, hyperlipidemia, and obesity. She takes chlorthalidone, lisinopril, atorvastatin, metformin, and an oral contraceptive every day. She works as a lawyer, and her job is stressful. She drinks wine with dinner every night and smokes 10 cigarettes a day. Emergency medical personnel gave her oxygen while on the way to the hospital. Upon arrival, her vital signs include: temperature 37.7°C (99.9°F), heart rate 120/min, respiratory rate 22/min, and blood pressure 120/80 mm Hg. On initial exam, she is an obese woman in acute distress with difficulty catching her breath and diaphoresis noted. A bedside electrocardiogram (ECG) is performed, which reveals ST-segment elevation in leads II, III, and aVF. Which of the following is the most probable diagnosis? A 49-year-old woman presents to the emergency department by ambulance after developing “crushing” chest pain and palpitations. Past medical history is significant for hypertension, hyperlipidemia, and obesity. She takes chlorthalidone, lisinopril, atorvastatin, metformin, and an oral contraceptive every day. She works as a lawyer, and her job is stressful. She drinks wine with dinner every night and smokes 10 cigarettes
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