The patient is a 45-year-old woman who presents after experiencing chest pain for the past 2 hours. She has some minimal dyspnea, but no diaphoresis. She takes birth control pills and is a smoker. She denies family history of cardiac disease.
Upon exam, you find:
General: Alert and oriented
Cardiovascular: RRR without murmur, rub, or gallop
Abdomen: Soft and NT without r/r/g
Ext: No peripheral edema or calf pain, pulses 2+ and equal in all extremities
View the ECG taken and consider what the diagnosis and next steps would be. Resolution of the case is described on the next page.