A patient is admitted to the CCU with intermittent severe chest pain over the last three days.  Today the pain radiated to the left arm and as accompanied by diaphoresis.  This prompted the patient's wife to call 911.  Upon arrival in the emergency room the patient is again pain free.  CPK-MB and Troponin-I are within normal limits.  When he is admitted to your unit, you find this ECG in the patient's chart. The accompanying EMS note states the patient was pain free at the time it was obtained.

Is there any useful information in this 12-lead? Is there any presumptive diagnosis you can make from this ECG and the patient's history? Should you call the cardiologist (who has not seen the patient yet) based on this ECG?