ECG Case 139

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ECG Case 139

A 75-year-old woman presents to the emergency department following 2 hours of chest discomfort. She states that the central chest pressure began suddenly while she was watching TV after dinner.

She denies a history of coronary disease or ever having had symptoms such as this before. She has a history of diabetes mellitus and dyslipidemia for which she takes rosiglitazone and simvastatin, respectively.

What abnormalities are notable in the ECG ?