Clinical History 128

Seventy-three year old gentleman who presented to the emergency room with severe constant chest discomfort and an electrocardiogram consistent with an extensive acute myocardial infarction. The patient developed cardiogenic shock and was taken to the cardiac catheterization laboratory where an urgent angioplasty of a 100% proximal left anterior descending occlusion was performed. The patient developed pneumonia, hypotension and subsequently expired.
Comment on this ECG ?