Update to 74 yof CC: Chest pain

Here are the serial prehospital 12-lead ECGs from the case.

Angiograms and cath report to follow.

Pay close attention to the right precordial leads (V1-V3).

Consider the following graphic.

The most important changes occur between 16:41:26 and 16:50:30.

Just for fun, here it is "flipped".