This 48-year-old diabetic and obese man presented to the hospital with severe crushing chest pain. He had been experiencing on-and-off pain for 2 days prior to presentation. This time, the pain was unusually severe and constricting in nature and associated with dizziness and palpitations. Upon arrival to the emergency room, he was in extremis and promptly became unresponsive and required CPR for PEA. The 1st ECG was obtained on presentation. The 2nd ECG was obtained immediately after ROSC. What do you think is happening?
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