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  • If I do an electrocardiogram and see ST segment elevation, get elevated blood levels of troponin and creatine kinase of myocardial origin, and a bedside PA and lateral chest X-ray shows the lungs are clear, and couple these to the symptoms and signs, there is a pretty strong pointer to coronary artery disease rather than Tietze's syndrome, pneumonia, or aortic dissection.
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  • citizendium.org