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Acute pericarditis — MCCQE Part 1 MCQ

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ModerateChest PainAcute pericarditisMCCQE Part 1

A 58-year-old man has retrosternal chest pain worse with deep inspiration, relieved by sitting forward. ECG: diffuse ST elevation with PR depression. Troponin mildly elevated at 0.15. Most likely diagnosis?

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Correct answer: D — Acute pericarditis

Pleuritic pain relieved by leaning forward + diffuse ST elevation + PR depression = pericarditis. STEMI produces territorial ST elevation. Treatment: NSAIDs + colchicine.

Reference: CCS Pericarditis Guidelines