Cardiology Case Report: Child with 2 AM Chest Pain


Our latest case report from Brady Pregerson, MD, features an elementary-school-aged boy brought to the emergency department by his mother for chest pain. Check out the ECG and determine the correct diagnosis!


An elementary-school-aged boy is brought to the ED by his mom for chest pain. He has had approximately 2 days of very mild runny nose without fever but from around 2 AM to about 5 AM this morning he had fairly severe upper chest pain radiating to both sides of his neck which is now resolved. The pain was slightly pleuritic but he was not out of breath. No fever or other complaints although he does state if he takes a really deep breath he can still feel it.


Vital signs are normal. The physical exam is also normal with no rales, wheezes, rubs, or murmurs. The chest is not tender.

An ECG is done:

Pediatric ECG printout | Credit: Brady Pregerson, MD

Computer Read: Pediatric ECG Interpretation, Sinus rhythm, normal ECG
Credit: Brady Pregerson, MD

What is the most likely cause of the ECG findings in this patient?

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