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He was hypertensive and tachycardic, with mildly increased work of breathing. The axiom of "type 1 (ACS, plaque rupture) STEMIs are not tachycardic unless they are in cardiogenicshock" is not applicable outside of sinus rhythm. Therefore this patient is either in some form of SVT or atrialflutter. If so, why?
Edits by Meyers and Smith A man in his 70s with PMH of hypertension, hyperlipidemia, type 2 diabetes, CVA, dual-chamber Medtronic pacemaker, presented to the ED for evaluation of acute chest pain. LAFB, atrialflutter, anterolateral STEMI(+) OMI. Sent by Pete McKenna M.D. Triage ECG: What do you think? He expired 4 days later.
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