MI 5: Difference between revisions

452 bytes removed ,  11 November 2008
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Culprit lesion: '''RCX'''
{{Case|
|previouspage= MI 4
|previousname= MI 4
|nextpage=MI 6
|nextname=MI 6
}}
'''Where is this myocardial infarction located?'''


# sinus rhythm
[[Image:ami0005.jpg|700px|thumb|left|ECG MI 5]]
# about 60/min
{{clr}}
# normal conduction
[[Answer MI 5|Answer]]
# intermediate axis
# normal p wave morphology
# No pathologic Q or LVH. Tall R in V2, V3.
# ST depression in V2, V3. Also depression in III and AVF. Some elevation in I and AVL.
 
* Conclusion: '''Postero-lateral MI caused by an RCX occlusion.'''
 
Note! The high frequency vibration that is most clearly seen in lead AVR (with a frequency of > 300/min) is an artefact and not a suprvaventricular tachycardia. In SVT, there would be no P waves.
 
It is quite unusual that lead III shows depression in a RCX infarction. Apparently the inferior part is not much affected by this infarction.