McGill Case 209

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. Previous Case: McGill Case 208 | Next Case: McGill Case 210

This recording shows sinus rhythm. The remarkable feature is the some what poor R wave progression in the V1 and V2 leads and the ST elevation and T wave changes in leads V1 to V4 and I and aVL. The cardiogram suggests an anterior/ lateral MI possibly acute. There is also terminal p wave negativity in V1 suggesting a left atrial abnormality.