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The patient is a 32-year-old male who woke up at 1 a.m. with a burning sensation in the mid-chest (a first-time event, he reports). The patient is not diaphoretic, and has no dyspnea. He is generally healthy and has no known risk factors for heart disease. His physical exam is unremarkable. In addition, you find:

BP: 154/102
Pulse: 68
Sat: 99%
Temperature: 97.3 °F
View the EKG taken and consider what your diagnosis and next steps would be.

32-year-old male with burning sensation in chest

Nahum Kovalski, BSc, MDCM

Clinical Researcher at TEREM Emergency Services
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