McGill Case 280

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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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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.