Question 1

A 59 year-old woman presents to the emergency with palpitations and substernal chest pain.

The pain is non-radiating, but she does mention some nausea.

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