Published on
Download the article PDF: Clinical Image Challenges
An 80-year-old male with hypertension and hyperlipidemia presents to urgent care for 1 day of sharp, substernal chest pain radiating to his right arm with associated shortness of breath and diaphoresis. His wife notes that he is often nonadherent with his medications. An ECG is ordered.
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 Akshay Elagandhala, MD, UTHealth Houston
80-Year-Old With Substernal Chest Pain
1 2