Case on ACS

50 year old female present in ER loose stools settled complain of tiredness , no Co morbidity, vitals stable, ECG  below 👇, echo antero septal hypokinesia, blood report s waiting, it’s intresting case!!!How to approach ?

Case by Dr Balakumar

DNB cardiology @ Global Hospitals, Chennai

Here is the answer

Looks like ACS but not, it’s a case of electrolytes imbalance and acidosis