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What does the ECG show in this patient with chest pain, hypotension, dyspnea, and hypoxemia?

Dr. Smith's ECG Blog

Here is his triage ECG: What do you think? A prior ECG was available for comparison: There is sinus rhythm here; the QRS is the same We can see that the QRS is essentially the same as prior. For clarity in Figure-1 — I've reproduced and labeled the 2 ECGs in today's case. Figure-1: I've labeled the 2 ECGs in today's case.

EKG/ECG 52