EMS is called to the residence of a 73 year old female with a chief complaint of chest pain.
On arrival the patient is found sitting on the couch. She appears acutely ill.
Skin is pale and diaphoretic.
Onset: 1 hour ago
Provoke: Nothing makes the pain feel better or worse
Quality: Heaviness or pressure
Radiate: Pain radiates to neck and jaw
Severity: 7/10 and persistent
Time: No previous episodes
Past medical history: HTN, dyslipidemia, breast CA
The patient admits to mild dyspnea but breath sounds are clear.
Vital signs are assessed.
SpO2: 98 on RA
The cardiac monitor is attached.
A 12-lead ECG is captured.
Displeased with the data quality, paramedics capture another 12-lead ECG.
What do you think is wrong with this patient?