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Case of the day: 55 y/o male, 2 hours of retrosternal chest pain…

Case of the day 🫀

55 y/o male, 2 hours of retrosternal chest pain radiating to the jaw, with sweating. BP 100/70, HR 54. ECG from casualty below.

1. What's your read?
2. What would you do in the first 10 minutes at a district hospital without a cath lab?

Reply with your answer. Hint: look at II, III and aVF, and think about the right ventricle before giving nitrates.
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