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The Symptoms: Chest Pain, Diaphoresis, Dyspnea, Nausea

Brady, William MD; Harrigan, Richard MD; Chan, Theodore MD

doi: 10.1097/

A 58-year-old man without medical history presented to the emergency department by private vehicle with chest pain of four hours duration. His associated symptoms included diaphoresis, dyspnea, and nausea.

The examination was significant for anxiety, pale appearance, and diaphoresis. The patient received nitroglycerin, aspirin, and oxygen while an intravenous line was placed. A 12-lead ECG was performed, and is shown in Figure 1. What is your interpretation? See p. 20.

Figure 1

Figure 1

© 2002 Lippincott Williams & Wilkins, Inc.