Case 3
A 45 year old female presents to the ED with a 3 day hx of sharp retrosternal chest pain that radiates to the back of her shoulder. The pain is worse on lying down and is relieved somewhat on sitting forward.
She has a medical history of HTN and rheumatoid arthritis for which she is on methotrexate.
Her ECG is opposite.
Question 1
What characteristic changes do you see on this ECG?
Question 2
What is the most likely diagnosis?
Question 3
What are some of the causes of this condition?
Question 4
What might you expect to hear on auscultation?