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Download the article PDF: Clinical Image Challenges January 2026
A 60-year-old male with a past medical history of prior myocardial infarction (MI) is presenting with left-sided chest pain for 1 day. He reports nonadherence to his clopidogrel for 2 weeks after running out of his medications.
View the ECG and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.
Case presented by Alexander Goay, MD, University of Texas Health Science Center at Houston.
60-Year-Old With Prior Myocardial Infarction
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