Concluded Case

IHD with stent in place - ECG done yesterday for vague uneasiness

66 years old male - a lnown case of IHD with stent in place since 2008 and on all medications as per the protocol of IHD .Complains of uneasiness since last 10 days No.chest pain but retrosternal discomfort. Comments on ECG welcomed

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Concluded answer

Sinu rhythm, LAD, LAFB, RBBB, RVH

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LAD LAHB RBBB Q wave in v1 to v4 s/o old Anterioseptal mi BUT INTRESTING THING IS THAT ST ELEVATION IN V2 TO V5 which is unusual in old mi before 20 yrs so there's definitely new Ischemic event ( reinfraction) Old ECG is very helpful Anyway Enzyme + Echo is choice of investigation

Right bundle branch block ST segment and T wave changes are reciprocal to Right bundle branch block

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Sinu rhythm, LAD, LAFB, RBBB, RVH

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RBBB with QS in inferior leads. Get Troponin I.

LBBB/LAD St depression in v1tov4 Old c/o IHD

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LAD RBBB LAHB S/O Bifascicular block

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Old Inferior Wall MI Left axis derivation NSTEMI

Wrong lead placement

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