At 1/12/2017 Night at 11 pm 58 years old male known case of Diabetes, Hypertension presented with a history of epigastric discomfort, vomiting, sweating soon after dinner to Emergency. Patient assumed it was due to acidity. Clinical examination revealed PR-124/min, BP-90/60, O2% 90%, RS- Basal Crepitations, CVS Tachycardia. ECG revealed this(refer image).
How to manage case IHD ACD in tertiary care set up acute IWMI with Acute LVF, compromised hemodynamics? What is your diagnosis? How do you take this case forward?
