ECG of the Week - 11th April 2016 - Interpretation

This ECG is from a 52 yr old male presenting with 1 hour of central chest pain.

Click to enlarge

Rate:

• 60 bpm

Rhythm:

• Regular
• Sinus rhythm

Axis:

• Normal

Intervals:

• PR - Normal (~180ms)
• QRS - Normal (100ms)

Segments:

• ST Elevation II (2.5mm), III (3.5mm), aVF (3mm)
• ST Depression leads I, aVR, aVL, V2, V5-6

Additional:

• T inversion I, aVL, V1-2

Interpretation:

• Inferior STEMI

What happened ?

The patient was taken for urgent angiography which showed:

• RCA: Critical mid stenosis
• LAD: 80% stenosis
• LCx: 70% stenosis

Two drug eluting stents were inserted to the RCA and the patient made an uneventful acute recovery with a planned elective angio for further management of the LAD and LCx lesions.

References / Further Reading

Life in the Fast Lane

• Inferior STEMI 

Textbook

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