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There is sinus tachycardia (do not be fooled into thinking this is VT or another wide complex tachycardia!) This pattern is essentially always accompanied by cardiogenicshock and high rates of VT/VF arrest, etc. The patient arrived to the ED in cardiogenicshock but awake. Code STEMI was activated.
Here is another proven left main occlusion in a young woman who presented with sudden pulmonary edema, had this ECG recorded, then arrested and was resuscitated after 30 minutes of CPR: This has sinus tachycardia with RBBB and LAFB, and STE in V2-V6 as well as I, aVL This pattern could just as easily be seen in LAD occlusion.
The abnormal heart rhythms can further lead to death because of ventricular tachycardia and ventricular fibrillation. Once the patient reaches the hospital, the doctors will attempt to remove the clot using either a potent clot buster medicine [thrombolytic medicines] or a surgery known as primary angioplasty.
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