23rd July 2020

A 55-year-old overweight man presents with central chest pain and shortness of breath

A 55-year-old overweight man presents with central chest pain and shortness of breath. This came on suddenly two hours ago whilst sitting in a chair and has not worsened since. He vomited one hour ago and has felt nauseous and sweaty since. You are unable to elicit any positive signs on examination of heart and lungs. What is the most likely diagnosis?

Select the SINGLE most appropriate option from the list below. Select ONE option only.