ECG of the Week - 24th June 2013

This ECG is from a 29 year old female.
She presents to your ED complaining of palpitations and an episode of chest tightness. The chest tightness lasted 45 minutes and was associated with nausea and dizziness. She has a history of pericarditis as a teenager and gives a long history of intermittent palpitations.
She was pain free when this ECG was performed with normal vital signs.

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VAQ Corner

A 29 year old female presents to your ED complaining of palpitations and an episode of chest tightness. The chest tightness lasted 45 minutes and was associated with nausea and dizziness. She has a history of pericarditis as a teenager and gives a long history of intermittent palpitations.
She was pain free when this ECG was performed with normal vital signs.

a) Describe & interpret her ECG (50%)
b) Outline the investigations you would perform (50%)