Q. A 65-year-old African-American male is brought to the ER by his son drenched in sweat and experiencing chest pain for the past 3 hours. Additionally, the patient also experienced 2 episodes of vomiting in the last hour. His chest pain is described as sudden in onset and constricting in nature. The patient rates the pain as an 8 out of 10. His past medical history is significant for hypertension, which is being managed with furosemide On examination, the patient’s blood pressure is 80/50 mm Hg, pulse 60/min and respiration rate 14/min. The jugular venous pressure is raised and increases on inspiration. An ECG shows ST elevation in leads II, III, aVF. Bilateral lung auscultation reveals clear lung fields. What is the most likely diagnosis?