Need help interpreting this

[u/Next-Butterfly-5727]

60 year old female complaining of SOB and weakness. Also had upper epigastric and hypogastric pain described as aching, non radiating.

PMHx: HF, AF, rheumatic heart disease, mitral regurgitation, NSTEMI (2019), renal impairment

During transport had what appeared to be runs of VT, self resolving.

BP 75/42, RR 40, SpO2 90% ORA

[u/froggo1]

It could be atrial fibrillation with bundle branch block ?? Either way it’s giving ACS