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There is also STE in V1 which is diagnostic of right ventricular OMI in this situation , and partly explains the syncope and hypotension (along with the bradycardia). Smith's comments in the May 19, 2020 post : Non-obstructive coronary disease does not necessarily imply no plaque rupture with thrombus. Embolism with lysis.
Within ten minutes, she developed bradycardia, hypotension, and ST changes on monitor. Bradycardia and heart block are very common in RCA OMI. Mechanisms of plaque formation and rupture. After this ECG was obtained, the ER physician received word that the patient's husband had died in the crash. SanzRuiz, R., Solis, J., &
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