Wednesday, 22 August 2018

ECG of the Week - 20th August 2018 - Interpretation

This ECG is from a 71 yr old male who presented with chest pain for the last 90 minutes. He has a history of T2DM and hypertension.

Click to enlarge
  • 104 bpm
  • Regular
  • Sinus rhythm
  • Normal
  • PR - Prolonged (~240ms)
  • QRS - Normal (100ms)
  • QT - 340ms

  • ST Elevation
    • Leads I, II, III, aVF, V1-6
  • ST Depression lead aVR
  • Flat ST lead aVL with T wave inversion
  • Hyperacture T waves leads II, III, aVF, V2-6


  • Extensive STEMI
    • Anterior, high lateral and inferior
    • Suggests "wrap around" LAD

What happened ?

The patient was transferred for urgent angiography, unfortunately I don't have the results of the cath.

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.

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