Question

A 29-year-old man presents with sharp, central chest pain that is worse on inspiration and when lying flat, and improves when sitting forward. ECG shows widespread concave ST elevation with PR segment depression. Troponin is normal. What is the most likely diagnosis?

Accepted Answer

Acute pericarditis

Answer

Acute ST-elevation myocardial infarction

Answer

Stable angina

Answer

Pulmonary embolism

Answer

Aortic dissection

Practice question

A 29-year-old man presents with sharp, central chest pain that is worse on inspiration and when lying flat, and improves when sitting forward. ECG shows widespread concave ST elevation with PR segment depression. Troponin is normal. What is the most likely diagnosis?