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Stepwise interpretation of ECG - #9 no Dx ID 594

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Anas Nader
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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 therapy . We will go through a quick step-wise diagnostic process.
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: ,[object Object],[object Object],[object Object],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 of ECG - #9 no Dx ID 594

  • 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. 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.