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A 38-year-old man develops severe retrosternal chest pain radiating to the back and presents to the emergency department. The pain is aggravated by breathing and movement. He has always been in perfect health but did have a mild upper respiratory tract infection 1 week ago. His cardiogram is shown in Figure below. Which of the following is the most likely cause for his condition?
occlusion of left anterior descending artery
occlusion of circumflex artery
a viral infection
dissection of the aortic artery
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