40 yr female, h/o sweating and retrosternal chest pain for 12 hours. The ecg is attached. Please help interpret the ecg findings.

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We need Long Lead to analyse the rhythm Northwest Axis Atrial Fibrillation with Intermittent Pre excitation (WPW type A)

one of the cause for Northwest axis is Pulmonary Embolism to be ruled out...
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it's a case of cardiac dysarrythmia most probably a v dissociation due to acute myocardial ischemia. ..leads to above symptoms

Inferowall mi with vt

Acute inferior wall MI ,VT with capture beat and a v dissociation

STEMI. INF. WALL

FALLOTS. TETRALOGY. , VSD

inferior wall infarct

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