ECG of the Week - 14th July 2014

This week's ECG is from a 67 yr old male who presents with 2 hours of chest pain with associated dysponea and nausea.

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VAQ Corner

A 67yr old male presents to your Emergency Department complaining of central chest pain for the last 2 hours associated with dysponea and nausea.
Vital signs: BP 103/55 RR 22 Sats 95% RA

Describe & interpret his ECG ? (50%)
Outline your management ? (50%)