student nurses please. Pt presents to ED with chest pain, ce | Figure 1

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student nurses please. Pt presents to ED with chest pain, central for 2.5 hours. Ecg performed in ED shows this. What is your concern? Are you concerned with this ecg? What do you think clinical management may be?

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Sorry, no context here, not even a chief complaint. (I have a pile of interesting ECGs where I either lost the notes on the call or neglected to jot anything down for whatever reason, and this is one of them)
I see two, maybe three concerns with this strip. What do you see?](https://app.figure1.com/case-detail/5d252cb9-9456-4cdd-9af4-b9e9e0d187a8)

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