This Week Challenging Case ! ( Case Challenge # 13 )
A 53 years old Man Brought by Complaining of Chest Pain since last 4 Hours , Pain was Retrosternal and Radiating toward Right shoulder and Hand , Now , he is sweating , complaining from Palpitation , BP is not detectable , HR is about 300 , there are Bibasilar Lung crackles . No Previous History of IHD and Related Disease .
1- what is your most likely Diagnosis ( apposite of my mentioned in #2 options)?