HPI: A 63-year-old male calls EMS after a syncopal episode. He is found to be alert, but complaining of chest pain that radiates bilaterally and that is associated with diaphoresis. The following ECG is obtained on arrival (ECG 1), and a repeat ECG is obtained after the patient has worsening chest pain at the scene (ECG 2). He presents to the hospital in cardiac arrest.

Case ECG



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