

A previously healthy man had headache, chest pain, abdominal pain, vomiting, and diarrhea 1 hour after eating raw tuna sashimi. His blood pressure was 67/42 mm Hg, and he had an erythematous nonpruritic rash on his upper torso, ST-segment elevation in lead aVR, and ST-segment depressions in leads II, III, aVF, and V3-6. What is the diagnosis and what would you do next?
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