A 60-year-old woman with a history of hypertension and diabetes presents to you after intermittent episodes of chest pain during the past few weeks. She tells you that she is currently free of chest pain. You decide to obtain electrocardiography (ECG; see Figure).
Figure. Wellens syndrome. Accessed December 21st, 2016.
Based on the findings on ECG, what is the most likely diagnosis?
- coronary vasospasm caused by cocaine abuse
- ischemia in the left anterior descending artery distribution
- myocarditis
- pulmonary hypertension
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