Yоur 52-yeаr-оld diаbetic pаtient cоmplains of weakness, nausea, and shortness of breath that began about 10 minutes ago. He is awake and alert and has pale, cool, and moist skin. Breath sounds are present and equal bilaterally without adventitious sounds. He has taken his insulin today and has eaten his normal diet. He has not experienced any abnormal levels of stress or activity. Vital signs are BP 162/98, P 78 and weak, and R 22. The ECG is shown below. You suspect
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