This post is an answer to the ECG Case 349
- Rate: 66 bpm
- Rhythm: regular sinus rhythm
- Axis: Normal
- Intervals:
- PR – Prolonged (~240ms)
- QRS – Normal (80ms)
- QT – 380ms (QTc Bazette 400 ms)
- Additional:
- T wave inversion in lead aVL
- Prominent T waves in inferior leads
- T wave in lead III is larger than QRS
- T wave in lead aVF as tall as QRS
- Possibly subtle STD in lead I although baseline is a little irregular
What happened ?
The patient had a troponin rise of 0.14 [cTnI normal <=0.05]. He was admitted under the cardiology team and subsequent angiogram showed an RCA stenosis which was successfully stented.
SIMILAR CASES:
