MI 11

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Where is this myocardial infarction located?

ECG MI 11. Click on image for enlargement.

Answer

Culprit lesion: RCA

1. sinusbradycardia
2. about 54/min
3. normal conduction
4. intermediate heart axis
5. normal p wave morphology
6. No pathologic Q or LVH.
7. ST elevation in II, III and AVF. ST depression in I, AVL, V4-V6

• Conclusion: Inferior-posterior MI caused by an RCA occlusion.