{"ops":[{"insert":"A 70 year old man presents with acute, severe retrosternal pain radiating to the left shoulder and arm for 1 hour.\n\nHis medical history is only significant for hypertension for 5 years, which is well controlled on ramipril alone.\n\nThere is no history of diabetes, dyslipidemia or ischemic heart disease. He does not smoke, and is not on any drugs.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-048_en.png"}},{"insert":"\n"}]}
2
Investigate
ECG
{"ops":[{"insert":"The ECG reveals the presence of left bundle branch block (LBBB); there is ST-segment elevation of 2 mm in leads V1-V3, along with concordance of the QRS complexes, T waves and ST segments.\n"}]}
