52 year old with a h/o inferior wall MI in the past presented to the ER with c/o substernal heaviness. ECG was recorded. Share your views.
Old inf wall ami with multiple pac, with wellen type a syndrome. Rule out inferior wall aneurysm as there is St elevation in inferior lead with pathological q wave.
It's a case of inferior wall myocardial infarction with ectopics
Inferior wall Stemi with type A Wellen syndrome with multiple ectopics
Inferior wall MI
Poor R wave progression across the chest leads LVH with strain (avl) Old IWMI Multiple pac Wellen's type 1 syndrome
IWMI with atrial ectopics
St segment elevation in ii and avf with t wave inversion in precodial leads,go for trop I, thrombolise if within period,give antieschemic and adv for angiography
Hyperacute Inferior wall MI.
IWMI
St elevation in 3 avf biphasic wellens t waves in v234 s/o multi vessel CAD PAMI will be more useful
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