Which one of the following terms correctly denotes the mechanism and phenotypic changes that are not a result of variation in the underlying DNA sequence, but are caused by secondary modifications of DNA or histones in response to other heritable or environmental influences?
Epigenetics
Epigenetics refers to heritable changes in gene expression and phenotype caused by mechanisms such as DNA methylation and histone modification, without any change in the underlying DNA nucleotide sequence itself.
A 24 year old man presents with acute onset shortness of breath with precordial chest pain. ECG reveals ST elevation with upward concavity and PR segment depression in lead V2 to V6 and reciprocal changes in lead aVR. The most likely diagnosis is