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| Culprit lesion: '''LAD'''
| | {{Case| |
| | |previouspage= MI 12 |
| | |previousname= MI 12 |
| | |nextpage=MI 14 |
| | |nextname=MI 14 |
| | }} |
| | '''Where is this myocardial infarction located?''' |
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| # sinustachycardia
| | [[Image:ami0013.pg|700px|thumb|left|ECG MI 13. Click on image for enlargement.]] |
| # about 100/min
| | {{clr}} |
| # normal conduction
| | [[Answer MI 13|Answer]] |
| # intermediate heart axis
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| # tall p wave in II consistent with right atrial dilatation. (the sawtooth-basline between the 2nd and 3rd complex in AVR is probably a motion artefact). PTA depression in II
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| # Loss of R waves throughout the anterior wall (V1-V6). QS complexes in V3-V5.
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| # ST elevation in V1-V5 with terminal negative T waves
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| * Conclusion: '''Large anterior MI due to LAD occlusion.'''
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| Characteristics that suggest a large infarct in this case are:
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| * Loss of R waves throughout the anterior wall (V1-V6). QS complexes in V3-V5.
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| * Left and right sided decompensation, resulting in right atrial dilatation and ischemia
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| * Tachycardia
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