ECG of the Week – 6th August 2018 – Interpretation

This ECG is from a 78 yr old female with a history if hypertension and hypercholesterolaemia who presented with 2 hours of central chest pain.


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Rate:

  • 60 bpm

Rhythm:

  • Regular
  • Sinus rhythm

Axis:

  • Normal

Intervals:

  • PR – Normal (~160ms)
  • QRS – Normal (100ms)
  • QT – 410ms

Additional:

  • ST Elevation lead II, III, aVF, V5-6 (~1mm)
  • ST Depression leads V1-3
    • Flat morphology
  • Biphasic T wave V2
  • T wave inversion lead aVL

Interpretation:

  • Infero-postero-lateral STEMI

What happened ?

The patient was transferred for urgent angiogram which showed an occluded circumflex which was stented.

References / Further Reading

Life in the Fast Lane

Textbook

  • Chan TC, Brady WJ, Harrigan RA, Ornato JP, Rosen P. ECG in Emergency Medicine and Acute Care. Elsevier Mosby 2005.

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