A 47-yr-old man with double trouble. The ECG shows sinus rhyt | MedRophine Science

A 47-yr-old man with double trouble.

The ECG shows sinus rhythm with normal axis and intervals. The two notable findings are 1) inferior Q-wave myocardial infarction (MI) of indeterminate age and 2) diffuse ST elevations in anterior and lateral leads, with PR deviations (up in aVR, down laterally) c/w with pericarditis. The story was of prior MI with pericarditis post-coronary artery bypass graft (CABG) surgery. If you know anyone who got this right (the first time), drop us a line so we can sign them up for a Cardiology Fellowship!