CARDIOLOGY - ECG LIBRARY
Case 47
64 F, Epigastric pain 2h, hypotensive. Major abnormalities + significance
Expected Response
ST elevation lead III = Inf STEMI requiring urgent revascularisation
ST dep/Tw inv leads I, aVL Reciprocal changes to inf STEMI
ST dep V2-V4 Suggests posterior STEMI
Complete heart block Rhythm disturbance likely contributing to hypotension, likely caused by ischaemia of AV node – requires urgent management with Isoprenaline or pacing
ST dep/Tw inv leads I, aVL Reciprocal changes to inf STEMI
ST dep V2-V4 Suggests posterior STEMI
Complete heart block Rhythm disturbance likely contributing to hypotension, likely caused by ischaemia of AV node – requires urgent management with Isoprenaline or pacing