Stepwise interpretation of ECG ID 594a  Acute antero-septal infarction
ID 594a 49 year old man in the Emergency Dept. with severe anterior chest pain  of 1 hour duration Obviously  this ECG sho...
ID 594a - Normal sinus rhythm, 84/min. Regular sinus-node P waves are present,  rate 84/min., followed by  QRS complexes T...
ID 594a - Normal sinus rhythm, 84/min. The QRS axis is normal  (+60 degrees) – The QRS duration is normal (90 msec.) -
ID 594a  Final diagnosis:  <ul><li>Normal sinus rhythm, 84/min. </li></ul><ul><li>Antero-septal injury pattern  </li></ul>...
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ECG #9 - ID594a - acute ASMI

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ECG #9 - ID594a - acute ASMI

  1. 1. Stepwise interpretation of ECG ID 594a Acute antero-septal infarction
  2. 2. ID 594a 49 year old man in the Emergency Dept. with severe anterior chest pain of 1 hour duration Obviously this ECG shows an antero-septal injury pattern of acute myocardial infarction, requiring urgent therapy . We will go through a quick step-wise diagnostic process.
  3. 3. ID 594a - Normal sinus rhythm, 84/min. Regular sinus-node P waves are present, rate 84/min., followed by QRS complexes The PR interval is normal. There are no signs of right or left atrial enlargement.
  4. 4. ID 594a - Normal sinus rhythm, 84/min. The QRS axis is normal (+60 degrees) – The QRS duration is normal (90 msec.) -
  5. 5. ID 594a Final diagnosis: <ul><li>Normal sinus rhythm, 84/min. </li></ul><ul><li>Antero-septal injury pattern </li></ul><ul><li>( Acute antero-septal infarction) </li></ul>No signs of ventricular hypertrophy. No QRS changes of infarction. There is marked ST elevation in V1-V4: injury pattern, in keeping with acute antero-septal infarction

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