Problem:
Rainey is a 64-year-old woman of Maori descent who has been married for 42 years and has two grown-up children. Both of Rainey's parents died when they were in their mid-60s of 'heart attacks'. Two of her four brothers have had heart attacks and have high blood pressure, and her remaining uncle has had 'two heart attacks and a stroke'. Rainey leads a sedentary life and her diet is moderately high in fat and sugar. Rainey is 162cm tall and 105kgs. Her body mass index (BMI) is 40 and her waist measurement is 101 cm.
Rainey began experiencing central chest pain radiating to her back and neck after walking up stairs at the shopping centre. She was short of breath, sweaty and sat down clutching her chest. Her daughter was with her and called an ambulance. The ambulance arrived after 5 minutes and took her to ED.
Her observations are as follows:
Blood pressure is 220/160
Pulse 92, radial pulse is present but weak and thready Temperature 36.7
RR: 16
SpO2: 98RA
Skin is cool and clammy.
ECG is below.
Questions:
Interpret the ECG and explain what the Dr will likely diagnose.
Considering the PQRST, what is the area affected and why?
Ensure you link your answer back to the case study.