13th March 2024

A previously fit and well 54-year-old male presents to the emergency department with a 3-day history of central chest pain.

A previously fit and well 54-year-old male presents to the emergency department with a 3-day history of central chest pain. He describes it as sharp and relieved on sitting forward. On further questioning, he also mentions suffering fatigue and a runny nose for the last 1 week. His observations on triage are BP 120/74 mmHg, HR 98 bpm, SO2 99% on room air, RR 19 and temperature of 37.9 °C. ECG on admission reveals concave ST segment elevation in leads I, II, aVF, aVL, V2-V5. Bloods reveal: 

• CRP 93 
• WCC 12.6 x 10*9/L 
• Lymphocytes 6.4 x 10*9/L 
• Neutrophils 2.0 x 10*9/L  
• Creatinine 84 µmol/L 
• Troponin T is raised at 140ng/L 

Repeat Troponin T 3 hours later is 164ng/L. An echocardiogram is performed at the bedside, which reveals a trace pericardial effusion with inferolateral wall hypokinesis. Which of the following terms best describes the condition this patient is most likely presenting with?

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