The following ECG is from a 30-year-old female who presents with acute severe chest pain and collapse. She is 5 days post-partum. On arrival to ED her vital signs are as follows:

BP 80/50 RR 22 Sats 95% RA GCS 14 (E3 V5 M 6) Temp 37.5

What are the key abnormalities on her ECG?

What are your differential diagnoses and how will you manage this patient?