A 54 y/o M with pmh of smoking and htn presents to the ED for evaluation of intermittent chest pain that has worsened over the last few days, occasionally occurring at rest.  Currently the patient is asymptomatic and has no complaints.  Please review the patient's EKG (prior email).  A troponin was drawn and is negative, all other labs are wnl.  The patient currently wants to go home.  

Is the patient's EKG suggestive of any particular condition or concern?  What should you do?