MI 5: Difference between revisions

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m (New page: Culprit lesion: '''RCX''' # sinus rhythm # about 60/min # normal conduction # intermediate axis # normal p wave morphology # No pathologic Q or LVH. Tall R in V2, V3. # ST depression in V...)
 
m (Answer example 5 moved to MI 5)
(No difference)

Revision as of 09:09, 11 November 2008

Culprit lesion: RCX

  1. sinus rhythm
  2. about 60/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 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.