MI 13: Difference between revisions

Revision as of 10:45, 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?

File:Ami0013.pg

ECG MI 13. Click on image for enlargement.

@@ Line 1: / Line 1: @@
-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.pg|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