Question
A 52-year-old man, without a cardiac medical history, was admitted to the emergency room with chest pain. Physical examination revealed no abnormalities. On presentation, his chest pain had spontaneously disappeared and the ECG did not show significant abnormalities. Thirty minutes later the chest pain reoccurred. A second ECG at that moment is shown in Fig. 1.
ECG when the chest pain reoccurred
What is your diagnosis and can you explain the mechanism?
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Zimmermann, F.M., van Mierlo, E., Meijer, A. et al. A Change Of Heart. Neth Heart J 22, 356 (2014). https://doi.org/10.1007/s12471-014-0566-4
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DOI: https://doi.org/10.1007/s12471-014-0566-4