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- 84 bpm
- Sinus rhythm
- PR - Normal (~160ms)
- QRS - Normal (90ms)
- QT - 400ms (QTc Bazette 435 ms)
- ST elevation leads aVL (<1mm) I (2nd & 3rd complexes <1mm)
- ST depression leads II, III, aVF
- Up-sloping ST segment V6
- T wave inversion leads III, aVR, V1
- High lateral changes suspicious for ACS
What happened ?
Coronary angiogram showed:
- LM - Normal
- Cx - Dominant with irregularities
- LAD & RCA - irregularities
- LV gram - Apical Hypokinesis
- Normal LV size and thickness.
- Hypokinesis of mid to apical anterolateral, anterior and inferior lateral regions with normal systolic function.
Life in the Fast LaneTextbook
- Chan TC, Brady WJ, Harrigan RA, Ornato JP, Rosen P. ECG in Emergency Medicine and Acute Care. Elsevier Mosby 2005.