Concluded Case

55 yrs lady presented with left jaw pain with restrosternal discomfort and vomiting since last 2days. BP 90/60mmhg. spo2 95% bil basal crepts heard. plz comment on ECG.

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Concluded answer

Lead V2 to V6 shows ST segment elevation with T wave inversion Lead I and aVL shows ST segment elevation and upright T wave Lead II III and aVF shows significant ST segment depression Lead V1 shows RBBB type of pattern with broad QRS complex It is suggestive of acute myocardial infarction involving Anterolateral wall with right bundle branch block Adv Cardiac enzymes 2 D echo And urgent angiography with SOS angioplasty with stenting It is suggestive of

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Wide qrs complexes Lt axis deviation Lt LBBB/LAD Acute st depression V1V2V3 L3 avf And st elevation in V4V5V6 L1L2 AVL ACS/ANTEROSEPTAL ISCHIMIA BRUGADA SYNDROME

Thanx dr Sandeep Ghodekar
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Lead V2 to V6 shows ST segment elevation with T wave inversion Lead I and aVL shows ST segment elevation and upright T wave Lead II III and aVF shows significant ST segment depression Lead V1 shows RBBB type of pattern with broad QRS complex It is suggestive of acute myocardial infarction involving Anterolateral wall with right bundle branch block Adv Cardiac enzymes 2 D echo And urgent angiography with SOS angioplasty with stenting It is suggestive of

Sinus Tachycardia. RBBB. Extensive AWMI with reciprocal depression in inferior leads.

Anterolateral wall MI with reciprocal changes in lead ll, lll, aVF.. RBBB pattern +

Ex ant wall STEMI with rbbb Thrombolysis if within window periods Give dual antiplatelet atorvastatin heparin BP monitoring.....

NSR,sinus tachycardia,rbbb, extensive awmi with reciprocal changes in inferior wall leads.

STEMI- anterolateral wall with reciprocal changes.

S.Tachy LAD LAHB RBBB Extensive Anteriolateral mi Pt is in grave condition

Anterolateral wall stemi with RBBB

Ac ANTEROLATERAL MI Prox LAD

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