Elderly patient with vasculopathic risk factors (hypertension, diabetes, smoking) presenting with acute shortness of breath, diaphoresis and pallor found to have hypotension and pulmonary edema with ECG findings of ST elevation in the anterolateral leads (I, avL, V2-V6), most consistent with myocardial infarction complicated by cardiogenic shock
Aortic dissection would lead to pain radiating to the back and X-ray would show widening of the mediastinum
submitted by โstep_prep3(25)
https://step-prep.org/tutoring/