Tachycardia must make you doubt an ACS or STEMI diagnosis; put it all in clinical context
Dr. Smith's ECG Blog
OCTOBER 26, 2010
More often, tachycardia with ST segment abnormalities (elevation or depression) is due to an underlying illness (PE, sepsis, hemorrhage, dehydration, hypoxia, respiratory failure, etc.). The patient was suffering from severe dehydration, possibly with sepsis. Furthermore, notice the well-formed Q-waves in inferior leads.
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