66 yo Indian female reports no medical history presents with epigastric pain intermittently for the past day. She has no other symptoms and pain sometimes occurs with exertion, sometimes occurs after eating. Vitals are: BP 200/100s, HR 95, RR 15, O2 sat 100% RA. Physical exam is unremarkable, she looks comfortable. Here's her EKG:
I didn't manage this patient primarily but I happened to see her EKG and get the story from Dr. Roy, one of the other EM staff here. What do you think?
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