Your interpretation of the ECG can include not only that, yes, she is having an MI, but can also localize the part of the heart affected. Looks like Joan might be having an anterior wall MI - not good for Joan. In the UK, how prevalent is heart bypass surgery? Do you have the option to take Joan to a facility that can perform heart surgery if deemed needed or are less invasive measures like clot busting or angioplasty always tried first?