ECG of the Week - 6th August 2018 - Interpretation

This ECG is from a 78 yr old female with a history if hypertension and hypercholesterolaemia who presented with 2 hours of central chest pain.

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Rate:

• 60 bpm

Rhythm:

• Regular
• Sinus rhythm

Axis:

• Normal

Intervals:

• PR - Normal (~160ms)
• QRS - Normal (100ms)
• QT - 410ms

Additional:

• ST Elevation lead II, III, aVF, V5-6 (~1mm)
• ST Depression leads V1-3
• Flat morphology
• Biphasic T wave V2
• T wave inversion lead aVL

Interpretation:

• Infero-postero-lateral STEMI

What happened ?

The patient was transferred for urgent angiogram which showed an occluded circumflex which was stented.

References / Further Reading

Life in the Fast Lane

• STEMI
• Inferior
• Posterior
• Lateral

Textbook

• Chan TC, Brady WJ, Harrigan RA, Ornato JP, Rosen P. ECG in Emergency Medicine and Acute Care. Elsevier Mosby 2005.