A 67-year-old man was brought to the hospital by ambulance after an episode of syncope at home. He had finished his lunch after which he developed severe crushing chest pain radiating to his left arm. He also developed profuse sweating and vomiting. Shortly after the pain onset, he lost consciousness. En route to the hospital, he had several brief runs of non-sustained ventricular tachycardia associated with dizziness and an impalpable radial pulse. Patient On Arrival BP: 80/50 mmHg; HR: 130; SaO 2 : 91% He looked unwell, sweaty, and dyspnoeic.
Heart sounds were normal with no murmurs. ECG was acquired. What can you infer from the attached ECG? *This case is from Docplexus editorial team for educational purposes only. Source: Life In Fast Lane. Stay Connected, the answer will be posted in the next 48h!