A 50 year old female presents to ED complaining of chest pain. The patient is well known to the department, with frequent presentations with chest pain. Recent MPS shows mild reversible inferior changes, which is unchanged from 2 years ago. While the patient is awaiting doctor assessment the following rhythm is noted on the monitor and a 12 lead ECG is then captured:
- Describe and interpret the ECG
- How would you approach the assessment and management of this patient