This post is an answer to the ECG Case 292
- Rate: 54 bpm
- Rhythm: Sinus arrhythmia
- Axis: Normal
- Intervals:
- PR – Normal (~160-180ms)
- QRS – Normal (100ms)
- QT – 440ms
- Segments: small ST elevations in II, III, aVF
- Additional:
- Deep T wave inversion leads V1-3 and aVL
- Prominent T waves III, aVF, V6
What happened next?
The patient had an angiogram which showed:
- Left main: Normal
- LAD: 80% mid stenosis
- Cx: 40% stenosis
- RCA: 60% proximal & 90% mid stenosis
The LAD lesion was stented and subsequent echo showed only mild LV systolic dysfunction. Medical therapy was maximised and staged further intervention was planned for the RCA lesion.
READ MORE: ECG Interpretation – All you need to know
