Answer MI 7

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Where is this myocardial infarction located?

ECG MI 7. Click on image for enlargement.

Answer

Culprit lesion: RCA

1. sinus rhythm
2. about 95/min
3. normal PQ and QRS interval. QT 360 ms, QTc 461ms (prolonged)
4. intermediate heart axis
5. tall p wave. possibly right atrial stress
6. No pathologic Q or LVH (however the inferior leads show small q waves)
7. ST elevation in II, III and AVF. ST depression in V2-V5. Lead V6 is missing (the electrode possibly fell off)

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