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.
A 57-Year-Old Female with Shortness of Breath and Weeks of Chest Pain