CARDIOLOGY - ECG LIBRARY
Case 43
45m 2h central Chest pain - abnormalities + diagnosis
What complication is shown + supporting features
What complication is shown + supporting features
Expected Response
= Inferolateral STEMI Supportive
STE in inferior leads (II, III, aVF with STE III>II suggestive of proximal RCA)
STE in lateral leads V4-6
Q wave in III
ST depression in I and aVL (reciprocal change)
Complication: Monomorphic VT
Supportive Features:
Wide complex tachycardia,
regular,
rate 200/min
Fusion beat
QRS concordance
AV dissociation
Will accept capture beat (2nd last one)
STE in inferior leads (II, III, aVF with STE III>II suggestive of proximal RCA)
STE in lateral leads V4-6
Q wave in III
ST depression in I and aVL (reciprocal change)
Complication: Monomorphic VT
Supportive Features:
Wide complex tachycardia,
regular,
rate 200/min
Fusion beat
QRS concordance
AV dissociation
Will accept capture beat (2nd last one)