https://en.ecgpedia.org/index.php?title=McGill_Case_319&feed=atom&action=historyMcGill Case 319 - Revision history2024-03-29T13:59:57ZRevision history for this page on the wikiMediaWiki 1.39.5https://en.ecgpedia.org/index.php?title=McGill_Case_319&diff=15395&oldid=prevDarrelC: Created page with "{{McGillcase| |previouspage= McGill Case 318 |previousname= McGill Case 318 |nextpage= McGill Case 320 |nextname= McGill Case 320 }} [[File:E319.jpg|thumb|600px|left|A 79 yea..."2012-02-19T23:02:52Z<p>Created page with "{{McGillcase| |previouspage= McGill Case 318 |previousname= McGill Case 318 |nextpage= McGill Case 320 |nextname= McGill Case 320 }} [[File:E319.jpg|thumb|600px|left|A 79 yea..."</p>
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[[File:E319.jpg|thumb|600px|left|A 79 year old man with 5 hours of chest pain<br />
Acute myocardial infarction in the presence of left bundle branch block<br />
Features suggesting acute MI<br />
ST changes in the same direction as the QRS (as shown here) <br />
ST elevation more than you'd expect from LBBB alone (e.g. > 5 mm in leads V1 - 3 {not this case}) <br />
Q waves in two consecutive lateral leads (indicating anteroseptal MI) <br />
(ref. Sgarbossa EB et al, N Engl J Med 1996;334:481-7)<br />
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with permision from the site of Dr. Dean Jenkins<br />
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