ECG of the Week - 6th October 2014

These ECG's are from a 55 yr old female who presented with an hour of chest pain. She was a smoker and on treatment for hypercholesterolaemia.

ECG 1
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ECG 2
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ECG 3
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ECG 4
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The ECG's in this series were performed at 10 minute intervals.

I also want to point out that the current Australian Heart Foundation STEMI Criteria differ from those in the latest ESC and AHA guidelines. The current Australian Guidelines define a reperfusion therapy STEMI as:

• Persistent ST elevation >1mm in 2 contiguous limb leads or
• ST elevation >2mm in 2 contiguous chest leads or
• New LBBB pattern