ECG of the Month: Young, Post-partum Woman Presenting with Chest Pain and ST Elevation

A 26-year-old woman, who is one-month post-partum presents to the Emergency Department (ED) with three days of stuttering chest pain. Her past medical history is notable for Hodgkin's disease treated with mantle field radiation therapy 8 years prior. Her family history is negative for heart disease and sudden cardiac death. A physical exam reveals normal vital signs and an unremarkable cardiopulmonary exam. An ECG obtained at the ED is shown (Figure 1).

Figure 1

Figure 1

You are asked to review the ECG and recommend next steps. Which of the following would you advise the ED physician?

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