MI 13: Difference between revisions

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Culprit lesion: '''LAD'''
{{Case|
|previouspage= MI 12
|previousname= MI 12
|nextpage=MI 14
|nextname=MI 14
}}
'''Where is this myocardial infarction located?'''


# sinustachycardia
[[Image:ami0013.jpg|700px|thumb|left|ECG MI 13. Click on image for enlargement.]]
# about 100/min
{{clr}}
# normal conduction
[[Answer MI 13|Answer]]
# intermediate heart axis
# tall p wave in II consistent with right atrial dilatation. (the sawtooth-basline between the 2nd and 3rd complex in AVR is probably a motion artefact). PTA depression in II
# Loss of R waves throughout the anterior wall (V1-V6). QS complexes in V3-V5.
# ST elevation in V1-V5 with terminal negative T waves
 
* Conclusion: '''Large anterior MI due to LAD occlusion.'''
 
Characteristics that suggest a large infarct in this case are:
* Loss of R waves throughout the anterior wall (V1-V6). QS complexes in V3-V5.
* Left and right sided decompensation, resulting in right atrial dilatation and ischemia
* Tachycardia

Latest revision as of 10:46, 11 November 2008

This page is part of Cases and Examples

Previous ECG: MI 12 | Next ECG: MI 14

Where is this myocardial infarction located?

ECG MI 13. Click on image for enlargement.


Answer