Answer MI 2

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Previous ECG: MI 1 | Next ECG: MI 3

Where is this myocardial infarction located?

ECG MI 2


Answer

Culprit lesion: Left main

  1. Sinus rhythm
  2. Around 75 bpm
  3. PQ normal, QRS interval 0.11 seconde, QT not prolonged
  4. Left axis
  5. normal p wave
  6. QRS morphology: widened QRS, but not enough for LBBB diagnosis
  7. ST elevation in AVR, V1, V2, V3. Reciprocal ST depression in II, III, AVF, V6. ST vector is upright ('pointing to heaven' (where the patient might go soon if not treated immediately)


  • Conclusion: Acute ischemia compatible with a left main blockage
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