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A 48-year-old man presented with a 3-day history of increasing central chest pain and dyspnoea. He had a 5-year history of hypertension that was not controlled by any medication. On examination, blood pressure was 201/125 mm Hg, oxygen saturation was 90% on air, heart sounds were normal, and the chest was clear on auscultation. ECG showed extensive T wave inversion in the anterior leads. Blood tests revealed the …
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