An Interesting Uncanny Clinical Presentation of Acute Myocardial Infarction

Myocardial infarction can present to the emergency room in the form of various complications. Anterior wall MI is notorious for producing mechanical complications like ventricular free wall rupture, ventricular septum rupture, and papillary muscle rupture. Inferior wall MI is usually associated with conduction abnormalities like heart blocks. Here, reperfusion of the myocardium and concurrent management of the complication should go hand in hand. We had a patient presenting to the ER with an ECG that was confusing between a PSVT and VT which when reverted revealed an anterior wall MI. The patient was salvaged with prompt revascularization.