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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?
LAFB, atrialflutter, anterolateral STEMI(+) OMI. So the patient was taken for emergent cath, showing: Culprit artery: LAD (100% stenosis, TIMI 0) requiring thrombectomy and stent. South African flag pattern, plus precordial swirl pattern. Queen of Hearts interpretation: Now the cardiologist considered it "STEMI"!
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