Today’s ECG is a 45yr male who presents to ED with a 12hr history of epigastric pain and diaphoresis. He is an ex smoker, no other cardiac risk factors.

His observations are HR 65 BP 110/70 RR19 Sp02 99% RA

His ECG is shown:

What can be seen on this ECG? What disposition, further investigations, and management would be appropriate for this patient?