This post is an interpretation of the ECG Case 199
- Rate: 78/min
- Rhythm:
- Regular
- Sinus Rhythm
- Axis:
- Normal (+45 deg)
- Intervals:
- PR – Normal (~200ms)
- QRS – Normal (80-100ms)
- QT – 360ms (QTc Bazette ~ 400 ms)
- Segments:
- Slight ST Elevation in Lead II
- ST Elevation in V2-3 (~1mm)
- ST Elevation in V4 (Variable magnitude with wandering baseline)
- Additional:
- T Wave Inversion in Leads I, aVL
- T Flattening in V6
- Positive T wave in V1
- Biphasic T waves in V2-V4
Interpretation
- Type 2 Wellen’s Pattern
- High lateral ischaemic changes
- Anterior ST elevation
- Patient requires urgent cardiology consultation given high likelihood of critical LAD lesion and risk of anterior wall AMI.
SIMILAR CASES:
