Short answer question: a distracting ECG

Part 1 A 76-year-old man with a past medical history of chronic obstructive pulmonary disease is brought to the emergency department (ED) with suspected sepsis. He is a smoker of 15 cigarettes per day who has an exercise tolerance of approximately 30 m. He saw his general practitioner who treated him with antibiotics and steroids. He has rung for an ambulance complaining of increasing shortness of breath and back pain. His initial vital signs were: BP 100/87 mm Hg, HR 120 bpm, RR 24 breaths per minute, oxygen saturations 100% on room air and normal temperature. He appeared sweaty and clammy, but his heart and chest were normal on examination. An ECG is done (figure 1). Questions What is the differential diagnosis? What is your initial management?   The differential diagnosis would include acute ST-elevation myocardial infarction (STEMI), pericarditis, dissecting thoracic aneurysm, pneumonia and pneumothorax. Pneumonia...
Source: Emergency Medicine Journal - Category: Emergency Medicine Authors: Tags: Tachyarrhythmias, Cardiomyopathy, Drugs: infectious diseases, Pneumonia (infectious disease), TB and other respiratory infections, Echocardiography, Pain (neurology), Stroke, Hypertension, Acute coronary syndromes, Percutaneous intervention, Pain (palliat Source Type: research