Sudden Chest Pain
55-year-old smoker develops crushing substernal chest pain radiating to the left arm, associated with sweating and nausea.
VITALS: BP 150/90, HR 110
β Most likely diagnosis?
Clinical Analysis
Diagnosis: Acute myocardial infarction
Key Insight
Prolonged crushing chest pain with radiation and autonomic symptoms indicates acute myocardial infarction rather than stable angina.
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