It is late and your pager goes off. It is your next admission. Your colleague tells you "this is an easy one, come down". You come down and the patient is being admitted for a rule out MI admission. You speak to her and she tells you that she came in because of a chest pain she woke up with this morning. She says it is across her entire chest, and is in both arms. It gets worst when she gets up to do anything, and if she sits still she feels fine. She says for the past 2 months after every large meal she gets a similar type of pain which she takes tums for which help. She says since than she eats smaller meals which has made a little difference. She also tells you for the first time she ate a large burrito last night from one of the corner shops and the cereal she ate this morning also made the pain worst. She also tells you that she lives in georgia and is here visiting, and her and her husband have covered an entire city on foot with no problems, and that she is an avid hiker. She denies any SOB, Dizziness, Palpitations, Diaphoresis. She denies any change in exercise tolerance. Her only past medical history is High Cholesterol for which she takes Lipitor. She does not smoke, does not drink, and has no contributory family history. Her Chest xray is clear, and her labs are pending. She is asking you if she can leave? Her EKG is below, what do you do?

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