Author: Noordeen Sathakathulla / Editor: Fiona Mendes / Reviewer: Abdullah Rana / Codes: / Published: 19/12/2022 / Reviewed: 19/06/2026
A 65-year-old male presents to the emergency department (ED) with a recurrent shock-like sensation experienced over his chest for the past two hours.
He has an extensive cardiac history. His ECG and chest x-ray are shown below.

