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The Rational Clinical Examination
David L. Simel, Drummond Rennie
Myocardial Infarction
Akbar A. Panju, Brenda R. Hemmelgarn, Gordon H. Guyatt, David L. Simel
Clinical Scenarios


Topics Discussed: abdominal pain, chest pain, myocardial infarction

Excerpt: "A 57-year-old man presents to the emergency department with squeezing retrosternal pain that started 1 hour ago. He is diaphoretic. His blood pressure is 110/70 mm Hg, his heart rate is 74/min, and he has an audible fourth heart sound. The electrocardiogram (ECG) reveals a 2-mm ST-segment elevation in leads V1 to V4...."
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