Answer MI 10

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Where is this myocardial infarction located?

ECG MI 10. Click on image for enlargement.

Answer

Culprit lesion: RCX

1. sinus rhythm
2. about 77/min
3. normal conduction
4. intermediate axis
5. normal p wave morphology
6. No pathologic Q or LVH. Tall R in V2, V3.
7. ST depression in V1, V4, tall R in V2. ST elevation in V5, V6. Some ST elevation in II, III and AVF.

• Conclusion: Inferior-lateral MI caused by an RCX occlusion.