Is This Ischemia???

HPI:  Approximately 30 year old female with history of frequent PVCs who presents via EMS with palpitations and near syncope. She was driving on the highway when she had to stop due to abrupt palpitations, SOB, and sensation like she was about to “black out”.

EKG:

Question:  Does this patient have a STEMI and do you need to activate the cath lab?