A 26 year old man comes to the emergency department because of sharp chest pain for 2 days. The pain is worse with inspiration and when lying flat and improves when he leans forward. He had an upper respiratory illness 1 week ago. Temperature is 37.9 C (100.2 F). Cardiac examination reveals a scratchy sound best heard at the left lower sternal border. Electrocardiogram shows diffuse ST segment elevations and PR segment depressions. Which of the following is the most likely diagnosis?
- A)Pulmonary embolism
- B)Acute pericarditisGABARITO
- C)ST elevation myocardial infarction
- D)Aortic dissection
- E)Unstable angina
Explicação
Acute pericarditis is correct. Pleuritic chest pain that improves with leaning forward, a pericardial friction rub, and diffuse ST elevations with PR depressions are classic findings. The recent viral prodrome strongly supports an inflammatory pericardial proc... Ver explicação completa e trilha adaptativa →