Complete Right Bundle Branch Block, Left Anterior fascicular block associated in the sitting of Acute ST-Segment Elevation Myocardial Infarction

59-year-old woman with a history of type 2 diabetes mellitus, dyslipidemia, and hypertension presented to emergent department with resting onset oppressive chest pain radiated to the jaw, sudden dyspnea at rest, profuse cold diaphoresis. blood pressure 90-55mmHg