ECG of the Week - 2nd July 2012 - Interpretation

This ECG is from a 80 year old female who presented following 2 hours of chest pain. En-route to hospital suffered a VF arrest with return of circulation post defibrillation.

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Rate:

• 72

Rhythm:

• Sinus Arrhythmia

Axis:

• Normal (+70 deg)

Intervals:

• PR - Normal (~200ms)
• QRS - Normal (80ms)
• QT - 400ms (QTc Bazette ~ 43\70 ms)

Segments:

• ST Elevation - V1-6, I, aVL (maximal in V3 4-5mm)
• ST Depression II, III, aVF

Interpretation:

• Antero-lateral STEMI

References / Further Reading

Life in the Fast Lane

• Anterior STEMI here
• Lateral STEMI here

Textbook

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