EMS is called to the residence of a 58 year old female complaining of chest pain.
On arrival the patient is found walking around the kitchen. She is anxious and hyperventilating.
Past medical history: Hypertension (controlled with diet and exercise)
HTN Medications: Xanax
The patient is asked to sit down in a kitchen chair and to control her breathing.
Onset: Sudden after coming home from the gym
Provoke: Nothing makes the pain better or worse
Quality: Unable to describe
Radiate: The pain does not radiate
Time: No previous episodes
The patient appears to be in excellent physical condition and states that she works out several times a week.
Skin is warm, pink and moist.
Breath sounds are clear bilaterally.
Vital signs are assessed.
SpO2: 99 on RA
The cardiac monitor is attached.
Paramedics press the PRINT button to obtain a cleaner tracing.
A 12-lead ECG is captured.
What is your impression of this 12-lead ECG?
How would you treat this patient and why?