A 67-year old male is brought to the hospital following an episode of syncope at home. He had just finished eating lunch at home when he developed severe crushing retrosternal chest pain radiating to his left arm, profuse sweating, and vomiting. Shortly after the onset of the pain he lost consciousness and awoke to find himself on the floor. While bringing him in the hospital, he had brief runs of non-sustained VT associated with dizziness and an impalpable radial pulse. On arrival to the hospital, his observations were : BP 80/50, HR 130 regular, SaO2 91% on 15L, RR 30.

He looks unwell, grey, sweaty and dyspnoeic. Chest exam revealed bilateral basal crepitations extending to the mid zones. Heart sounds are normal with no murmurs. His ECG was recorded (Image attached) What findings can be interpreted from his ECG? *This case is from Docplexus Editorial Team for educative purpose only