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- ~65 bpm
- Sinus Arrhythmia
- PR - Normal (~180ms)
- QRS - Normal (100ms)
- QT - 360ms (QTc Bazette 375 ms)
- ST Elevation leads I (1mm), II (4-5mm), III (3mm), ,aVF (4mm), V4 (2mm), V5 (2.5mm), V6 (3mm)
- ST Depression leads aVR, aVL, V1-3
- Flat ST depression V1-2
- Dominant R wave leads V2-3
- Infero-lateral-posterior STEMI
What happened ?
The patient was taken for urgent angiography and PCI which showed:
- Left main - normal
- LAD - normal Diagonal branch- 90% occlusion
- Circumflex - OM1 90% & mid LCx 100% occlusion
- RCA - mild disease only
The circumflex lesion was stented and subsequent Echo showed:
- Normal LV size & systolic function
- Normal RV size & systolic function
- No valvular dysfunction
The patient made an uneventful in-patient recovery and was discharged for out-patient follow-up.
References / Further Reading
Life in the Fast Lane
- Chan TC, Brady WJ, Harrigan RA, Ornato JP, Rosen P. ECG in Emergency Medicine and Acute Care. Elsevier Mosby 2005.