Review Question - QID 213379

A 56-year-old man is brought to the emergency room following complaints of severe chest pain. The pain came on while he was shoveling snow outside and is described as “crushing”, 8/10, and radiating to his jaw. He has never experienced similar pain before. He endorses diaphoresis, headache, and palpitations but denies fever, weight changes, upper respiratory symptoms, abdominal pain, or urinary changes. His past medical history is significant for hypertension that is treated with lisinopril. He admits to drinking 6-7 beers per day 4-5 days a week. A physical examination is unremarkable except for diaphoresis. A bedside electrocardiogram (ECG) is obtained and its results are shown in Figure A. What is the most likely condition that led to this patient’s ECG results?