A 78-year-old female with known ischemic cardiomyopathy presents to her local emergency department with acute-onset chest discomfort. She states she was woken from sleep with a “ pressure” in her chest and shortness of breath.
She activated emergency medical services. On arrival, she appears in moderate distress. Her vital signs are notable for a tachycardia and mild hypotension (100/70 mm Hg).
What’s your interpretation ?