Q:

A 63 year old man continues to experience chest pain and has a temperature of 37.8 ̊C 2 days after an acute MI. His ECG shows widespread ST elevation with upward concavity. What is the single most likely explanation for the abnormal investigation?

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A 63 year old man continues to experience chest pain and has a temperature of 37.8 ̊C 2 days after an acute MI. His ECG shows widespread ST elevation with upward concavity. What is the single most likely explanation for the abnormal investigation?


  1. Acute pericarditis
  2. Cardiac tamponade
  3. Atrial thrombus
  4. Left ventricular aneurysm
  5. Dressler syndrome

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The key is A. Acute pericarditis. [Chest pain, raised temperature and ECG findings of widespread ST elevation with upwards concavity is diagnostic of acute pericarditis particularly after MI].

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