Answer MI 7

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Revision as of 09:22, 11 November 2008 by Drj (talk | contribs) (New page: {{Case| |previouspage= MI 6 |previousname= MI 6 |nextpage=MI 8 |nextname=MI 8 }} '''Where is this myocardial infarction located?''' [[Image:ami0007.jpg|700px|thumb|left|ECG MI 7. Click on...)
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Previous ECG: MI 6 | Next ECG: MI 8

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.
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