ECG Case 351

This post is an answer to the ECG Case 351

  • Rate: 96 bpm
  • Rhythm:
    • Irregular
    • Nil P waves 
  • Axis: LAD
  • Intervals: QRS – Normal

  • Segments:
    • ST Elevation in leads I (6mm), aVL (7mm), V6 (1mm)
    • ST Depression in leads II, III, aVR, aVF, V1-5
  • Additional: Late R wave transition

Interpretation

  • High lateral STEMI
  • Atrial fibrillation

What happened next ?

The patient was transferred for urgent angiography and underwent stenting of a 1st diagonal branch occlusion.

READ MORE: ECG Interpretation: All you need to know