Wednesday, 13 April 2016

ECG of the Week - 11th April 2016 - Interpretation

This ECG is from a 52 yr old male presenting with 1 hour of central chest pain.


Click to enlarge



Rate:
  • 60 bpm
Rhythm:
  • Regular
  • Sinus rhythm
Axis:
  • Normal
Intervals:
  • PR - Normal (~180ms)
  • QRS - Normal (100ms)
Segments:

  • ST Elevation II (2.5mm), III (3.5mm), aVF (3mm)
  • ST Depression leads I, aVR, aVL, V2, V5-6

Additional:

  • T inversion I, aVL, V1-2

Interpretation:

  • Inferior STEMI

What happened ?

The patient was taken for urgent angiography which showed:

  • RCA: Critical mid stenosis
  • LAD: 80% stenosis
  • LCx: 70% stenosis

Two drug eluting stents were inserted to the RCA and the patient made an uneventful acute recovery with a planned elective angio for further management of the LAD and LCx lesions.

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.