Patient Presentation: 85 year old male had sudden onset shortness of breath and chest tightness while taking his dog out for a walk. The chest tightness is consistent with his usual angina discomfort but is far worse 9/10. PMHx: Angina, hypertension, CABG, hyperlipidemia. Meds: NitroDur patch, Altace, Lipitor, ASA.

What is YOUR interpretation?