A 77-year-old man presents to the emergency department with three hours of retrosternal chest pain. It is severe, ‘tight’, radiates to both shoulders and is associated with breathlessness, sweating and nausea. He reports that he has had a previous MI. He is not known to have any pre-existing ECG changes. He is pale and clammy. In addition:
Pulse is 80
BP 105/80
Respiratory rate is 22
SaO2 is 94% on 15L O2
On auscultation you hear a third heart sound and bilateral basal crepitations
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Question 1 of 2
1. Question
Which one of the following does the ECG show?
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Question 2 of 2
2. Question
What is the clinical diagnosis and what is the most appropriate course of action?
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