HPI
A 72-year-old woman is brought into the emergency department by family for confusion. She has a history of abdominal hernia repair with subsequent complications, including an exploratory laparotomy for an anastomotic leak 10 days ago. She is noted to be hypotensive (76/31), tachycardic (HR fluctuating between 140-150 bpm), with altered mental status on arrival. The following ECG is obtained:
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