Clinical History 114

Seventy-four year old gentleman who presents to the hospital with sudden onset anterior chest discomfort and the accompanying electrocardiogram. An urgent cardiac catheterization was followed by a percutaneous transluminal coronary angioplasty to the right coronary artery as acute thrombus was present. Medications at the time of this electrocardiogram included intravenous heparin, intravenous nitroglycerin, aspirin and metoprolol.
Comment on this ECG ?