Case 3

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A 45-year-old woman presents to the ED complaining of left sided chest pain. She has had this pain for 1 day. It is sharp in nature and worse with inspiration. There is no radiation. She is a non-smoker. There are no symptoms of note on systems review. 

On examination, she was tachycardic with a heart rate of 150bpm. Blood pressure was normal. The rest of the examination was unremarkable. 

The nurse shows you an ECG.