Case 56: A 65 year old man, known diabetic, hypertensive and smoker presented with one hour chest pain and vomiting

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ECG of Acute Infero posterior wall MI with RV involvement

Case 56: A 65 year old man, known diabetic, hypertensive and smoker presented with one hour chest pain and vomiting. What is your diagnosis? (Note that V1 to V6 are right sided chest leads)
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