Abstract

A 65-year-old man called emergency medical service (EMS) because of chest pain and diaphoresis. The EMS team found him hypotensive and bradycardic. His field 3-lead rhythm strip showed inferior ST-elevation myocardial infarction (STEMI) with heart block (Figure 1A). Intravenous atropine was given with no response; therefore, external transcutaneous pacing was initiated, and he was taken to the hospital (Figure 1B). However, he remained hypotensive en route.

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