What does the angiogram show? The Echo? The CT coronary angiogram? How do you explain this?

A 70-something female with no previous cardiac history presented with acute chest pain.  She  awoke from sleep last night around 4:45 AM (3 hours prior to arrival) with pain that originated in her mid back. She stated the pain was achy/crampy. Over the course of the next hour, this pain turned into a pressure in her chest. She said this was midsternal and felt like a tightness. This originally radiated into her left arm. Over some time and the pain moved into her other arm as well as her jaw. She also had some shortness of breath. She was brought in by ambulance and received aspirin and nitroglycerin en route. She stated that this did provide minimal relief. She continues to have pressure that radiates to her right arm and the left side of her neck.  She has no previous cardiac history of which she is aware 911 was called and here is her Prehospital ECG:What do you think?There are inferior and lateral T-waves that could be hyperacute, and I only know they are for certain because of the ST depression in V2: along with these T-waves, this STD is diagnostic of posterior OMI.The Queen of Hearts says so too:The Queen of Hearts PM Cardio App is now available in the European Union (CE approved) the App Store and on Google Play.  For Americans, you need to wait for the FDA.  But in the meantime:YOU HAVE THE OPPORTUNITY TO GET EARLY ACCESS TO THE PM Cardio AI BOT!!  (THE PM CA...
Source: Dr. Smith's ECG Blog - Category: Cardiology Authors: Source Type: blogs