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Stepwise interpretation of ECG
ID 594a
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
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.
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: -Normal sinus rhythm, 84/min.
- Antero-septal injury pattern
-( Acute antero-septal infarction)
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
ID 594a Final diagnosis: -Normal sinus rhythm, 84/min.
- Antero-septal injury pattern
-( Acute antero-septal infarction)
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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Stepwise interpretation #9

  • 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
  • 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. ID 594a - Normal sinus rhythm, 84/min. The QRS axis is normal (+60 degrees) – The QRS duration is normal (90 msec.) -
  • 5. ID 594a Final diagnosis: -Normal sinus rhythm, 84/min. - Antero-septal injury pattern -( Acute antero-septal infarction) 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
  • 6. ID 594a Final diagnosis: -Normal sinus rhythm, 84/min. - Antero-septal injury pattern -( Acute antero-septal infarction) 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