Patient complains of sudden onset pain in epigastrium region, retrosternal discomfort. ECG done. What is the diagnosis?

A 38yr old female ,k/c/o dm on tab glyciphage n hypertensive on tab metaprolol , came with c/o giddiness n sweating. pain retrosternal n epigastric region radiating to back. vitals PR 44/min, BP 120/70, SPO2 98%.GRBS -230mg/dl ECG AS UPLOADED sinus bradycardia. plz suggest diagnosis n treatment

This 64 year old woman presented intoxicated with nausea and vomiting and epigastric pain, with no chest pain. She has a history of a stent, but unknown in which artery. She stopped taking clopidogrel 2 weeks ago because she ran out. Here is the initial ECG; there was no previous ECG for comparison. Comment

cullen's sign discoloration around the umbilicus may indicate- 1 severe acute pancretitis 2 ruptured ectopic pregnancy 3 trauma to liver

35/f chest pain radiating to Left upper limb for 10 days and past h/0 ac. pancreatitis. dyspepsia+ .given pan-d, tramadol, antacid, but pain not subsides. no DM, htn. next step pls. advice