u/OperationAnnual7166

Thoughts on this ECG? Attended this guy a few days ago, bit of history:

65yom, overweight, smoker. Poor diet.

3 day history of intermittent tight central chest pain, it had been worse overnight, radiating to left upper arm and jaw but didn't tell anyone til the morning and then 999 was called. Reports 2/10 pain when we were assessing him. He also had an expiratory wheeze (we were thinking undiagnosed COPD).

This is the second ECG, post paracetamol, aspirin and GTN. His first showed a little depression in limb lead ii and peaked t waves in v2,v3,v4,v5. We took to local ED. I'm no ECG expert but I had bad vibes about it, particularly with the changes in v2, v3, v4, v5 and with all his history.

Edit to add - patient hasn't attended his GP in years, takes no meds and has no known medical hx