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MI with cardiogenic shock... RVMI present or not?

A 65 year old diabetic and hypertensive presented with sudden onset loss of consciousness and this is the ecg. bp is not recordable. Kindly diagnose and comment

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LAD LAHB RBBB IWMI with R.V with Obtuse marginal obstruction

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A Fib, LAD,St segment elevation in lead 2,3and avf with T wave inversion and reciprocal St segment dep in lead 1 and AVL suggestive of Fully evolved Inferior Wall m i. St elevation in lead 3 is little bit more than lead 2 with St segment elevation in lead V1 and isoelectric st segment in V2 suggestive of RVMI. To confirm RVMI needed Rt sided leads v4Rto v6R st elevation 0.5 to 1mm is sufficient. T Wave inversion in v3 to v6 suggestive of anteriorolateral Wall ischemia

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Evolving inferior wall MI couplet VPDs. Bradycarida due to inferior wall MI. Cannot comment on RVMI need right side chest lead recording.

LAD LAHB RBBB IWMI with R.V with Obtuse marginal obstruction

Thanks Dr Majaz

Complete heart block

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