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Mega RCA Block

Description

42 year old male known smoker with other co morbities present with acute onset chest pain.ECG was taken showing STE in inferior and lateral leads and V1 with ST depression in V2,and I,avl..... rhythm looks like 8:9 wancke back SA exit block...so my final diagnosis is ACS, STEMI, Inferior plus posterior plus lateral wall MI with RVMI...most likely due to MEGA RCA. Patient was thrombolysed successfully

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