USMLE Step 2 - Question 1

A 72-year-old male with a history of diabetes and hypertension presents to the emergency department with chest pain. He is diagnosed with an anterior wall myocardial infarction, and appropriate therapy is undertaken. Two months later he sees his cardiologist for dyspnea on exertion and lower extremity swelling. His ECG is below. What is the most likely diagnosis?

Case47-1

A. Pericarditis

B. Left ventricular aneurysm

C. Early repolarization

D. Cardiac tamponade

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