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EasyCardiovascularNon-ST-elevation myocardial infarctionuk-plab-1

A 54-year-old man presents with crushing central chest pain starting 2 hours ago, associated with diaphoresis and nausea. ECG shows ST depression in leads V2–V4 and T-wave inversion in leads II, III and aVF. Troponin is elevated. What is the most likely diagnosis?

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