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

