ECG Strip 03
Approximately 30 years old patient comes with a burning and pressure chest pain lasting for about 90 minutes, the pain is still present. There were no other complaints. We measure elevated temperature (37°C). The ECG shows elevations of ST interval in leads II, III, aVF, V5 and V6. Myocardial infarction is a possible, but less probable, diagnosis. Pericarditis is much more probable diagnosis; despite there is no audible chest murmur. The patient is pharmacologically treated as an acute STEMI and sent for further assessment to the local cardiovascular center. The decision to perform a coronary angiography had negative outcome and the diagnosis is therefore pericarditis.