McGill Case 310

This case report is kindly provided by Michael Rosengarten from McGill and is part of the McGill Cases. These cases come from the McGill EKG World Encyclopedia. Previous Case: McGill Case 309 | Next Case: McGill Case 311

A 60 year old woman with 3 hours of chest pain. Acute posterior myocardial infarction (hyperacute) the mirror image of acute injury in leads V1 - 3 (fully evolved) tall R wave, tall upright T wave in leads V1 -3 usually associated with inferior and/or lateral wall MI with permision from the site of Dr. Dean Jenkins