Check out the comments on our original post here.
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- Mean rate ~130bpm
- Nil p waves
- PR - Nil p waves
- QRS - Normal (80ms)
- QT - 280ms
- ST Elevation leads II (4mm), III (5mm), aVF (4mm), V4 (2mm), V5 (3mm), V6 (2.5mm)
- ST Depression leads aVL, aVR, V1-2 (note horizontal morphology)
- Prominent R wave V1-2
- Infero-lateral-posterior STEMI
- Atrial Fibrillation
- Whilst there is a suggestion there may be group beating both our blog electrophysiologists have reviewed the ECG and agree this is 'simple' atrial fibrillation
What happened ?
The ECG findings were immediately recognised and local PCI protocol was activated.
The angiogram showed:
- LAD - 70% mid-stenosis
- PLA - 100% ostial occlusion --> Stented
- LV function preserved
- Inferolateral LV akinesis
- Normal RV size and function
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.