NREMT Paramedic Level Quiz
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CARDIOLOGY & RESUSCITATION
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An 82-year-old male with a dual-chamber pacemaker presents with acute shortness of breath. His 12-lead ECG shows a ventricular paced rhythm at 80 bpm. The ST-segments and T-waves are appropriately discordant to the paced QRS complexes in most leads, but in lead V2, which has a positive QRS, there is 4mm of ST elevation.
In the context of a ventricular paced rhythm, this finding of concordant ST elevation is highly suggestive of:
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