Case Report: Chest Pain Radiating to the Back
Our latest case report features a man in his mid-80s with hypertension, pleural disease, and AF, presenting with 2 days of chest pain radiating to his upper back. Check out the EKG and see if you can determine the correct diagnosis.
History:
A man in his mid-80’s with hypertension, pleural disease and atrial fibrillation on rivaroxaban and carvedilol presents with 2 days of chest pain radiating to his upper back. He describes his pain as constant, waxing and waning, 8/10 in severity and worse with deep inhalation or lying supine. He has had a very slight cough but denies fever, flu or shortness of breath. He also denies diaphoresis, nausea, vomiting, abdominal pain, leg swelling, palpitations or other complaints.
Exam:
Vital signs and physical exam are normal except for an irregular heart rate.
Computer Read: atrial fibrillation at 61 with PVC
What is the most likely cause of the EKG findings in this patient?
