McGill Case 200

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This case report is kindly provided by Michael Rosengarten from McGill and is part of the McGill Cases. These cases come from the McGill EKG World Encyclopedia.

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This EKG shows sinus rhythm. The QRS shows q waves in the inferior leads which are wide (>30ms) and about 25% of the QRS height in aVF. There is also slight ST ellivation in the inferior leads and T wave inversion. The EKG suggests an inferior wall infarction, probably old. (the best way to determine "old" is to see a previous cardiogram).