1st August 2023

A 28-year-old man presents to A&E with sudden onset chest pain. He has a background of HIV, for which he is on antiretroviral therapy.

A 28-year-old man presents to A&E with sudden onset chest pain. He has a background of HIV, for which he is on antiretroviral therapy. He describes the pain as stabbing and central, and when he is lied back to examine begins to struggle with his breathing. An ECG is performed, which shows widespread T-wave inversion.

What is the most likely diagnosis?

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