This post is an answer to the ECG Case 343
- Rate: 60 bpm
- Regular V-paced rhythm
- LBBB Morphology
- Massive discordant ST elevation (>5mm) in leads V2-4, >25% of QRS depth
- Discordant ST elevation in leads II, III, aVF, V5
- Concordant ST elevation in leads I and V6
Interpretation
Sgarbossa positive ECG
- Massively discordant, and concordant ST segment elevations
- Underlying V-paced rhythm with LBBB morphology
What happened next ?
The patient was discussed with the cardiology team and taken for angiography. This showed an acute mid LAD occlusion treated with a bare metal stent. Post angiography echo showed moderate systolic and diastolic dysfunction. She was discharged following a 2 day in-patient stay.
READ MORE: ECG Interpretation: All you need to know
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