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| Culprit lesion: '''RCA'''
| | {{Case| |
| | |previouspage= MI 3 |
| | |previousname= MI 3 |
| | |nextpage=MI 5 |
| | |nextname=MI 5 |
| | }} |
| | '''Where is this myocardial infarction located?''' |
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| # sinus bradycardia
| | [[Image:ami0004.jpg|700px|thumb|left|ECG MI 4]] |
| # about 55/min
| | {{clr}} |
| # normal conduction
| | [[Answer MI 4|Answer]] |
| # intermediate (normal) axis
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| # normal p wave morphology
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| # tall R in V2, otherwise normal QRS morphology
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| # ST elevation in II, III, AVF (in III > II). Depression in I, AVL, V2.
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| * '''Conclusion: Inferoposterior MI caused by a RCA occlusion'''
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| Arguments in favor of RCA occlusion (instead of RCX):
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| * ST depression in I, AVL
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| * bradycardia
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| * ST elevation in III > II ('the highest ST elevation points at the culprit lesion')
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