McGill Case 245

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 244 | Next Case: McGill Case 246

In this case, in spite of the story of atypical chest pain and an initial cardiogram that the EKG machine interpreted as probable LVH with secondary repolarization changes, the patient evolved a non-Q MI. An angiogram showed a significant narrowing in the left anterior descending artery. This is one of a series of three cardiograms. The first (below) was taken at 99/8/9@13h36hrs , the second at 99/08/09@22h20, and the third at 99/08/10@7h18.