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Inferior wall MI with wandering pacemaker

Description

A 42 year old male presented to ER with acute onset of chest pain.ECG done at presentation suggestive of inferior wall MI With posterior wall and RVMI.Rhythm is junctional escape with wandering pacemaker as p waves are intermittent appearing with changing polarity due to failure of SA node pacemaker activity due SA node ischemia.This all occuring due to proximal RCA block as ST segment is depressed in lead I

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