McGill Case 280

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 279 | Next Case: McGill Case 281

The recording shows atrial fibrillation with wide spread ST depressions suggestive of ischemia or possibly non-Q myocardial infarction. In this case there were no enzyme changes suggestive of a myocardial infarction and the changes probably represent ischemia secondary to the ventricular tachycardia terminated by the lidocaine. It is also possible that the ST changes are purely a result of the tachycardia but in this case this would seem unlikely.