CARDIOLOGY - ECG LIBRARY
Case 41
63F, 3h chest pain. Rate, rhythm and axis. What pathology is identified


Expected Response
(accelerated) Junctional rhythm, rate 75/min, axis normal
Inferior STEMI – ST elevation II, III, aVF, reciprocal depression lateral leads (I, aVL)
Probable R sided involvement – STE III>II
ST depression V1 – V5 – reflects possible posterior involvement or else this too is reciprocal
Inferior STEMI – ST elevation II, III, aVF, reciprocal depression lateral leads (I, aVL)
Probable R sided involvement – STE III>II
ST depression V1 – V5 – reflects possible posterior involvement or else this too is reciprocal