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- 96 bpm
- Nil P waves
- QRS - Normal
- ST Elevation leads I (6mm), aVL (7mm), V6 (1mm)
- ST Depression leads II, III, aVR, aVF, V1-5
- Late R wave transition
- High lateral STEMI
- Atrial fibrillation
What happened ?
The patient was transferred for urgent angiography and underwent stenting of a 1st Diagonal branch occlusion.
All EM Physicians should be aware of their relevant National resuscitation guidelines.
The Australian Resuscitation Council has a set of comprehensive guidelines which can be found here:
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.