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The patient is a 57-year-old female who presents to urgent care with progressive shortness of breath and chest pain of “several weeks” duration. On exam, she is nonobese, normotensive, slightly tachycardic, and tachypneic with clear lungs and distant heart sounds.

View the initial ECG taken and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.

Weeks of Chest Pain ECG
Figure 1. (Case presented by Archana Reddy, MD, PGY3 in the McGovern Medical School Department of Emergency Medicine, The University of Texas Health Sciences Center of Houston.)
A 57-Year-Old Female with Shortness of Breath and Weeks of Chest Pain
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