A 35-year-old patient presents with a sudden onset of sharp, pleuritic chest pain that is exacerbated by deep inspiration and relieved by leaning forward. On physical examination, the patient has a pericardial rub. An ECG was ordered, which shows. 

What is the most likely diagnosis?

A) Acute pericarditis

B) Acute myocardial infarction

C) Pulmonary embolism

D) Aortic dissection

E) Pneumonia

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