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An 18-year-old male presented with history of road traffic accident leading to multiple facial and skull bone fractures. There was no intracranial haemorrhage or active blood loss from any site. There was no evidence of chest injury. On examination he had tachycardia and persistent hypotension. An ECG revealed ST elevation in leads I, aVL, V1 and V2 with q right bundle branch block (qRBBB) pattern suggestive of acute anterior wall myocardial infarction. Echocardiogram showed severe …
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