Question 1

A 55-year-old man with no past medical history is brought in by ambulance after several hours of chest pain.

He received aspirin in the ambulance and currently has no symptoms.

An ECG is taken in triage, which is shown below:

What is shown on this ECG?

No evidence of ischaemia

Subendocardial ischaemia

Occlusive myocardial infarction

Occlusive myocardial infarction with reperfusion