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This case report describes a unique instance of a patient developing AEF following AF ablation, accompanied by ischemic stroke and myocardialinfarction. Upon admission, physical examination and laboratory tests revealed vital signs within abnormal ranges and indicators suggesting inflammation and potential myocardial injury.
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. Atrialflutter, when regular, must be conducting at 1:1, 2:1, 3:1, etc. If so, why?
Diagnosis of Acute MyocardialInfarction in the Presence of Left Bundle Branch Block using the ST Elevation to S-Wave Ratio in a Modified Sgarbossa Rule. Electrocardiographic Diagnosis of Acute Coronary Occlusion MyocardialInfarction in Ventricular Paced Rhythm Using the Modified Sgarbossa Criteria.
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Atrial Flutter 
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